Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.97 / $708.33 / $14,482.00	Facility		$213.97	$708.33	$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 $1,031.78 / $1,205.72 / $1,849.60	Facility		$1,031.78	$1,205.72	$1,849.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $206.54 / $397.15 / $800.70	Facility		$206.54	$397.15	$800.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.95 / $413.45 / $3,014.84	Facility		$207.95	$413.45	$3,014.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $206.60 / $397.15 / $790.49	Facility		$206.60	$397.15	$790.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $804.65 / $1,317.30	Professional		$440.51	$804.65	$1,317.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $337.18 / $1,146.70 / $3,590.15	Facility		$337.18	$1,146.70	$3,590.15
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