Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $1,054.80 / $3,548.89	Facility		$252.70	$1,054.80	$3,548.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.72 / $3,123.29 / $5,037.75	Facility		$2,672.72	$3,123.29	$5,037.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $525.52 / $1,510.67	Facility		$252.70	$525.52	$1,510.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.30 / $1,510.67 / $8,384.00	Facility		$269.30	$1,510.67	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $252.70 / $525.52 / $1,510.67	Facility		$252.70	$525.52	$1,510.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $563.32 / $1,050.22 / $3,395.57	Professional		$563.32	$1,050.22	$3,395.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,004.59 / $2,004.59 / $2,004.59	Facility		$2,004.59	$2,004.59	$2,004.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00