Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.26 / $1,038.44 / $14,482.00	Facility		$635.26	$1,038.44	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,308.43 / $1,529.00 / $2,466.21	Facility		$1,308.43	$1,529.00	$2,466.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $507.68 / $784.61 / $1,069.58	Facility		$507.68	$784.61	$1,069.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $553.84 / $2,398.00 / $4,793.00	Facility		$553.84	$2,398.00	$4,793.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $507.68 / $784.61 / $1,069.58	Facility		$507.68	$784.61	$1,069.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,010.10 / $1,559.75 / $2,097.06	Professional		$1,010.10	$1,559.75	$2,097.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $7,984.00 / $7,984.00	Facility		$7,984.00	$7,984.00	$7,984.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00