Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.41 / $960.77 / $14,482.00	Facility		$384.41	$960.77	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,251.66 / $1,462.66 / $2,243.76	Facility		$1,251.66	$1,462.66	$2,243.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $333.12 / $477.39 / $789.74	Facility		$333.12	$477.39	$789.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.21 / $492.83 / $3,036.00	Facility		$333.21	$492.83	$3,036.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $333.12 / $477.39 / $789.74	Facility		$333.12	$477.39	$789.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $727.31 / $1,098.01 / $1,599.74	Professional		$727.31	$1,098.01	$1,599.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $574.02 / $2,422.50 / $7,909.30	Facility		$574.02	$2,422.50	$7,909.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00