Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.46 / $1,045.78 / $14,482.00	Facility		$159.46	$1,045.78	$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 $2,142.86 / $2,504.11 / $3,841.36	Facility		$2,142.86	$2,504.11	$3,841.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $722.58 / $1,542.08	Facility		$144.41	$722.58	$1,542.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $787.50 / $3,242.00	Facility		$144.41	$787.50	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $145.93 / $722.58 / $1,522.22	Facility		$145.93	$722.58	$1,522.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.12 / $825.51 / $2,606.19	Professional		$321.12	$825.51	$2,606.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $247.55 / $833.10 / $833.10	Facility		$247.55	$833.10	$833.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00