Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.70 / $814.55 / $14,482.00	Facility		$269.70	$814.55	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.39 / $1,209.93 / $1,856.07	Facility		$1,035.39	$1,209.93	$1,856.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $243.90 / $393.62 / $642.79	Facility		$243.90	$393.62	$642.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.82 / $408.55 / $2,783.00	Facility		$251.82	$408.55	$2,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $243.90 / $393.62 / $642.79	Facility		$243.90	$393.62	$642.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $541.59 / $871.97 / $1,340.01	Professional		$541.59	$871.97	$1,340.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $419.81 / $1,725.54 / $2,321.48	Facility		$419.81	$1,725.54	$2,321.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,628.00 / $5,471.00	Facility		$2,960.00	$3,628.00	$5,471.00