Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.06 / $620.12 / $1,894.00	Facility		$310.06	$620.12	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.08 / $925.61 / $1,419.91	Facility		$792.08	$925.61	$1,419.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.39 / $233.83 / $488.59	Facility		$118.39	$233.83	$488.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.71 / $272.64 / $1,100.00	Facility		$124.71	$272.64	$1,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $224.77 / $488.59	Facility		$114.47	$224.77	$488.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $342.45 / $648.28 / $1,025.45	Professional		$342.45	$648.28	$1,025.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $260.83 / $1,092.35 / $2,000.00	Facility		$260.83	$1,092.35	$2,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90