Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.38 / $734.83 / $14,482.00	Facility		$396.38	$734.83	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $916.44 / $1,070.93 / $1,642.84	Facility		$916.44	$1,070.93	$1,642.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.93 / $457.23 / $781.00	Facility		$355.93	$457.23	$781.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $506.47 / $4,821.00	Facility		$350.00	$506.47	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.93 / $457.23 / $770.84	Facility		$355.93	$457.23	$770.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $912.23 / $1,488.93	Professional		$684.00	$912.23	$1,488.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $434.18 / $1,725.75 / $1,725.75	Facility		$434.18	$1,725.75	$1,725.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00