Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.45 / $836.48 / $3,119.00	Facility		$449.45	$836.48	$3,119.00
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 $1,485.95 / $1,736.45 / $2,663.75	Facility		$1,485.95	$1,736.45	$2,663.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $428.93 / $683.84 / $1,520.28	Facility		$428.93	$683.84	$1,520.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.12 / $965.25 / $7,791.00	Facility		$446.12	$965.25	$7,791.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $428.93 / $683.84 / $1,520.28	Facility		$428.93	$683.84	$1,520.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $905.58 / $1,308.83 / $1,885.28	Professional		$905.58	$1,308.83	$1,885.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $784.43 / $1,048.39 / $2,871.12	Facility		$784.43	$1,048.39	$2,871.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00