Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.41 / $804.00 / $14,482.00	Facility		$213.41	$804.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,917.58 / $2,240.85 / $3,437.52	Facility		$1,917.58	$2,240.85	$3,437.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.78 / $535.42 / $1,197.49	Facility		$194.78	$535.42	$1,197.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.72 / $669.13 / $5,558.00	Facility		$193.72	$669.13	$5,558.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.78 / $535.42 / $1,197.49	Facility		$194.78	$535.42	$1,197.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.64 / $899.61 / $2,325.71	Professional		$434.64	$899.61	$2,325.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $330.28 / $1,361.10 / $1,361.10	Facility		$330.28	$1,361.10	$1,361.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00