Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.02 / $1,617.43 / $14,482.00	Facility		$487.02	$1,617.43	$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 $1,153.43 / $1,347.88 / $2,067.67	Facility		$1,153.43	$1,347.88	$2,067.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $497.98 / $867.20	Facility		$419.41	$497.98	$867.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.60 / $606.16 / $7,929.30	Facility		$417.60	$606.16	$7,929.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $510.73 / $867.20	Facility		$419.41	$510.73	$867.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $578.51 / $1,061.72 / $1,591.38	Professional		$578.51	$1,061.72	$1,591.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $500.69 / $7,929.30 / $7,929.30	Facility		$500.69	$7,929.30	$7,929.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00