Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.48 / $917.62 / $14,482.00	Facility		$425.48	$917.62	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,172.35 / $1,369.99 / $2,101.60	Facility		$1,172.35	$1,369.99	$2,101.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.14 / $487.66 / $876.83	Facility		$320.14	$487.66	$876.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.66 / $498.27 / $3,036.00	Facility		$346.66	$498.27	$3,036.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $298.51 / $475.32 / $876.83	Facility		$298.51	$475.32	$876.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $757.25 / $1,107.79 / $1,739.62	Professional		$757.25	$1,107.79	$1,739.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $656.22 / $2,712.96 / $7,909.30	Facility		$656.22	$2,712.96	$7,909.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00