Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $964.51 / $14,482.00	Facility		$385.92	$964.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $8,436.00 / $15,579.70	Facility		$1,183.00	$8,436.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.75 / $1,461.61 / $2,242.14	Facility		$1,250.75	$1,461.61	$2,242.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $465.37 / $789.74	Facility		$316.27	$465.37	$789.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $484.77 / $5,080.00	Facility		$321.00	$484.77	$5,080.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $461.25 / $789.74	Facility		$316.27	$461.25	$789.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $732.91 / $1,102.74 / $1,587.57	Professional		$732.91	$1,102.74	$1,587.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $578.22 / $2,435.52 / $16,547.20	Facility		$578.22	$2,435.52	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00