Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.29 / $1,008.92 / $14,482.00	Facility		$212.29	$1,008.92	$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 $2,375.35 / $2,775.79 / $4,258.13	Facility		$2,375.35	$2,775.79	$4,258.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.98 / $668.02 / $1,500.35	Facility		$191.98	$668.02	$1,500.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.98 / $844.61 / $3,242.00	Facility		$191.98	$844.61	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $192.34 / $668.02 / $1,500.35	Facility		$192.34	$668.02	$1,500.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $427.17 / $916.16 / $2,892.37	Professional		$427.17	$916.16	$2,892.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $328.70 / $1,776.64 / $1,776.64	Facility		$328.70	$1,776.64	$1,776.64
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