Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.68 / $1,071.43 / $14,482.00	Facility		$324.68	$1,071.43	$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 $758.74 / $886.65 / $1,360.15	Facility		$758.74	$886.65	$1,360.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $407.04 / $878.08	Facility		$291.36	$407.04	$878.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.83 / $453.48 / $4,377.80	Facility		$288.83	$453.48	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $403.60 / $882.24	Facility		$291.36	$403.60	$882.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $704.18 / $1,222.24	Professional		$528.00	$704.18	$1,222.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $336.20 / $4,901.45 / $4,901.45	Facility		$336.20	$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