Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.03 / $678.77 / $14,482.00	Facility		$203.03	$678.77	$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 $1,293.10 / $1,511.10 / $2,318.06	Facility		$1,293.10	$1,511.10	$2,318.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $437.65 / $815.84	Facility		$183.85	$437.65	$815.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $472.36 / $3,242.00	Facility		$183.85	$472.36	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $183.85 / $437.65 / $815.84	Facility		$183.85	$437.65	$815.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $412.98 / $843.66 / $1,612.55	Professional		$412.98	$843.66	$1,612.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $315.50 / $1,706.24 / $1,706.24	Facility		$315.50	$1,706.24	$1,706.24
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