Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.35 / $1,109.41 / $14,482.00	Facility		$331.35	$1,109.41	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.28 / $923.51 / $1,416.68	Facility		$790.28	$923.51	$1,416.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.85 / $385.62 / $620.00	Facility		$286.85	$385.62	$620.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.85 / $423.90 / $4,792.00	Facility		$286.85	$423.90	$4,792.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.85 / $385.62 / $645.27	Facility		$286.85	$385.62	$645.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $739.38 / $1,257.53	Professional		$554.40	$739.38	$1,257.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $343.71 / $7,929.30 / $7,929.30	Facility		$343.71	$7,929.30	$7,929.30
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