Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $909.75 / $26,112.08	Facility		$236.89	$909.75	$26,112.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.19 / $743.44 / $1,140.45	Facility		$636.19	$743.44	$1,140.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $325.58 / $756.74	Facility		$236.89	$325.58	$756.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $362.87 / $4,810.00	Facility		$236.89	$362.87	$4,810.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $236.89 / $325.58 / $756.74	Facility		$236.89	$325.58	$756.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $625.76 / $1,031.91	Professional		$469.20	$625.76	$1,031.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $298.02 / $1,300.00 / $1,300.00	Facility		$298.02	$1,300.00	$1,300.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00