Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $6,461.00 / $16,007.88	Facility		$456.73	$6,461.00	$16,007.88
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 $574.91 / $671.83 / $1,030.60	Facility		$574.91	$671.83	$1,030.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.81 / $313.02 / $568.00	Facility		$219.81	$313.02	$568.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.64 / $362.54 / $4,792.00	Facility		$217.64	$362.54	$4,792.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.81 / $307.74 / $568.00	Facility		$219.81	$307.74	$568.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $401.40 / $535.33 / $925.78	Professional		$401.40	$535.33	$925.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $253.48 / $4,901.45 / $4,901.45	Facility		$253.48	$4,901.45	$4,901.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,912.00 / $5,865.00	Facility		$2,976.00	$3,912.00	$5,865.00