Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.95 / $883.16 / $14,482.00	Facility		$266.95	$883.16	$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 $624.48 / $729.75 / $1,119.45	Facility		$624.48	$729.75	$1,119.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $334.70 / $777.15	Facility		$239.07	$334.70	$777.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.80 / $370.76 / $4,377.80	Facility		$236.80	$370.76	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $333.06 / $777.15	Facility		$239.07	$333.06	$777.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $580.15 / $1,005.70	Professional		$435.00	$580.15	$1,005.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $275.68 / $4,901.45 / $4,901.45	Facility		$275.68	$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