Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.95 / $672.00 / $14,482.00	Facility		$178.95	$672.00	$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 $1,607.60 / $1,878.61 / $2,881.83	Facility		$1,607.60	$1,878.61	$2,881.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $482.46 / $1,045.83	Facility		$165.73	$482.46	$1,045.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $552.33 / $3,242.00	Facility		$165.73	$552.33	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $165.73 / $528.00 / $1,045.83	Facility		$165.73	$528.00	$1,045.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.19 / $754.24 / $1,956.64	Professional		$365.19	$754.24	$1,956.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $277.18 / $1,143.06 / $4,901.45	Facility		$277.18	$1,143.06	$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