Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.99 / $6,482.30 / $17,162.24	Facility		$756.99	$6,482.30	$17,162.24
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 $954.29 / $1,115.16 / $1,710.68	Facility		$954.29	$1,115.16	$1,710.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.48 / $432.62 / $749.25	Facility		$358.48	$432.62	$749.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.80 / $520.87 / $4,850.49	Facility		$351.80	$520.87	$4,850.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $351.80 / $445.01 / $760.00	Facility		$351.80	$445.01	$760.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $665.40 / $887.42 / $1,537.88	Professional		$665.40	$887.42	$1,537.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $422.68 / $6,482.70 / $6,482.70	Facility		$422.68	$6,482.70	$6,482.70
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