Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.10 / $4,872.10 / $6,153.70	Facility		$494.10	$4,872.10	$6,153.70
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 $623.58 / $728.70 / $1,117.83	Facility		$623.58	$728.70	$1,117.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $238.92 / $338.83 / $735.00	Facility		$238.92	$338.83	$735.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $237.07 / $386.56 / $4,377.80	Facility		$237.07	$386.56	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $238.73 / $338.83 / $735.00	Facility		$238.73	$338.83	$735.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $433.80 / $578.54 / $1,004.23	Professional		$433.80	$578.54	$1,004.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.27 / $4,901.45 / $4,901.45	Facility		$275.27	$4,901.45	$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