Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.71 / $1,091.57 / $14,482.00	Facility		$446.71	$1,091.57	$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 $1,404.85 / $1,641.67 / $2,518.37	Facility		$1,404.85	$1,641.67	$2,518.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $536.03 / $908.03	Facility		$381.70	$536.03	$908.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $558.30 / $3,036.00	Facility		$381.70	$558.30	$3,036.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $381.67 / $533.65 / $908.03	Facility		$381.67	$533.65	$908.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $846.94 / $1,248.67 / $1,862.08	Professional		$846.94	$1,248.67	$1,862.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $674.21 / $2,822.52 / $3,728.65	Facility		$674.21	$2,822.52	$3,728.65
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