Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $584.16 / $1,948.98	Facility		$83.50	$584.16	$1,948.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,485.05 / $1,735.39 / $2,799.13	Facility		$1,485.05	$1,735.39	$2,799.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $171.33 / $818.71	Facility		$83.50	$171.33	$818.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $818.71 / $5,801.00	Facility		$89.18	$818.71	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.50 / $171.33 / $818.71	Facility		$83.50	$171.33	$818.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.25 / $509.19 / $1,860.94	Professional		$186.25	$509.19	$1,860.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $757.84 / $757.84 / $757.84	Facility		$757.84	$757.84	$757.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,523.30 / $6,072.00	Facility		$2,960.00	$4,523.30	$6,072.00