Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.53 / $761.22 / $14,482.00	Facility		$229.53	$761.22	$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 $1,640.94 / $1,917.57 / $2,941.60	Facility		$1,640.94	$1,917.57	$2,941.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.44 / $573.77 / $1,139.05	Facility		$216.44	$573.77	$1,139.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $602.91 / $3,036.00	Facility		$219.86	$602.91	$3,036.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $218.67 / $569.49 / $1,139.05	Facility		$218.67	$569.49	$1,139.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $469.74 / $966.02 / $2,015.69	Professional		$469.74	$966.02	$2,015.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $357.00 / $1,219.90 / $3,590.15	Facility		$357.00	$1,219.90	$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