Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.08 / $851.21 / $14,482.00	Facility		$224.08	$851.21	$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 $2,016.71 / $2,356.67 / $3,615.21	Facility		$2,016.71	$2,356.67	$3,615.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.89 / $570.46 / $1,269.08	Facility		$202.89	$570.46	$1,269.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.89 / $704.43 / $3,242.00	Facility		$202.89	$704.43	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $203.21 / $570.46 / $1,269.08	Facility		$203.21	$570.46	$1,269.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $956.17 / $2,476.73	Professional		$453.31	$956.17	$2,476.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $348.99 / $1,644.23 / $1,644.23	Facility		$348.99	$1,644.23	$1,644.23
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