Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.06 / $640.76 / $14,482.00	Facility		$276.06	$640.76	$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 $832.63 / $973.00 / $1,492.61	Facility		$832.63	$973.00	$1,492.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.38 / $329.79 / $573.42	Facility		$245.38	$329.79	$573.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.38 / $353.46 / $3,242.00	Facility		$245.38	$353.46	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $244.11 / $329.79 / $611.89	Facility		$244.11	$329.79	$611.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $508.14 / $745.27 / $1,068.59	Professional		$508.14	$745.27	$1,068.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $417.99 / $1,764.66 / $1,764.66	Facility		$417.99	$1,764.66	$1,764.66
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