Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.95 / $862.23 / $14,482.00	Facility		$260.95	$862.23	$14,482.00
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 $610.96 / $713.95 / $1,095.22	Facility		$610.96	$713.95	$1,095.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $326.69 / $777.15	Facility		$233.40	$326.69	$777.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.51 / $363.97 / $4,377.80	Facility		$231.51	$363.97	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $325.14 / $777.15	Facility		$233.40	$325.14	$777.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $424.80 / $566.54 / $982.78	Professional		$424.80	$566.54	$982.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $4,901.45 / $4,901.45	Facility		$269.16	$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