Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.99 / $748.37 / $1,894.00	Facility		$297.99	$748.37	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.32 / $1,146.75 / $1,849.67	Facility		$981.32	$1,146.75	$1,849.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $235.50 / $400.03 / $619.16	Facility		$235.50	$400.03	$619.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.66 / $526.11 / $1,789.00	Facility		$245.66	$526.11	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $237.99 / $399.13 / $619.16	Facility		$237.99	$399.13	$619.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $594.39 / $855.06 / $1,281.60	Professional		$594.39	$855.06	$1,281.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,877.34 / $1,877.34 / $1,877.34	Facility		$1,877.34	$1,877.34	$1,877.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90