Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $1,057.84 / $3,587.55	Facility		$216.81	$1,057.84	$3,587.55
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 $2,722.28 / $3,181.20 / $5,131.17	Facility		$2,722.28	$3,181.20	$5,131.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $445.48 / $1,485.95	Facility		$216.81	$445.48	$1,485.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.21 / $1,485.95 / $8,384.00	Facility		$232.21	$1,485.95	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $216.81 / $445.48 / $1,485.95	Facility		$216.81	$445.48	$1,485.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.75 / $939.44 / $3,433.40	Professional		$487.75	$939.44	$3,433.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $986.60 / $986.60 / $986.60	Facility		$986.60	$986.60	$986.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00