Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $1,776.56 / $14,482.00	Facility		$127.86	$1,776.56	$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 $2,442.94 / $2,854.76 / $4,379.28	Facility		$2,442.94	$2,854.76	$4,379.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.74 / $420.00 / $1,517.49	Facility		$118.74	$420.00	$1,517.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $707.47 / $3,242.00	Facility		$117.03	$707.47	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.21 / $420.00 / $1,517.49	Facility		$119.21	$420.00	$1,517.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.62 / $920.83 / $2,907.14	Professional		$263.62	$920.83	$2,907.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.49 / $1,562.25 / $4,901.45	Facility		$199.49	$1,562.25	$4,901.45
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