Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.60 / $951.40 / $14,482.00	Facility		$228.60	$951.40	$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 $2,246.48 / $2,625.20 / $3,489.11	Facility		$2,246.48	$2,625.20	$3,489.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $217.11 / $592.00 / $1,427.10	Facility		$217.11	$592.00	$1,427.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.01 / $899.40 / $10,230.00	Facility		$227.01	$899.40	$10,230.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $225.86 / $592.00 / $1,545.21	Facility		$225.86	$592.00	$1,545.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $474.01 / $974.97 / $2,759.51	Professional		$474.01	$974.97	$2,759.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $530.78 / $1,200.50 / $1,200.50	Facility		$530.78	$1,200.50	$1,200.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00