Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.47 / $970.66 / $14,482.00	Facility		$293.47	$970.66	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.75 / $801.36 / $1,229.30	Facility		$685.75	$801.36	$1,229.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $253.86 / $309.97 / $531.14	Facility		$253.86	$309.97	$531.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $373.42 / $4,821.00	Facility		$252.70	$373.42	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $321.75 / $538.94	Facility		$252.70	$321.75	$538.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $638.55 / $1,105.16	Professional		$478.80	$638.55	$1,105.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $303.25 / $4,901.45 / $4,901.45	Facility		$303.25	$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