Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.77 / $856.78 / $14,482.00	Facility		$258.77	$856.78	$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 $1,158.83 / $1,354.20 / $2,077.37	Facility		$1,158.83	$1,354.20	$2,077.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $246.54 / $459.37 / $874.72	Facility		$246.54	$459.37	$874.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.30 / $472.96 / $2,783.00	Facility		$249.30	$472.96	$2,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $241.86 / $459.37 / $874.72	Facility		$241.86	$459.37	$874.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.16 / $927.36 / $1,462.65	Professional		$514.16	$927.36	$1,462.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $400.44 / $1,373.20 / $3,590.15	Facility		$400.44	$1,373.20	$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