Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.91 / $5,682.68 / $9,789.85	Facility		$285.91	$5,682.68	$9,789.85
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 $668.63 / $781.35 / $1,198.60	Facility		$668.63	$781.35	$1,198.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $256.36 / $363.41 / $797.28	Facility		$256.36	$363.41	$797.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.09 / $438.19 / $4,792.00	Facility		$254.09	$438.19	$4,792.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $255.98 / $363.41 / $797.28	Facility		$255.98	$363.41	$797.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $465.00 / $620.16 / $1,076.36	Professional		$465.00	$620.16	$1,076.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.18 / $4,901.45 / $4,901.45	Facility		$295.18	$4,901.45	$4,901.45
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