Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.52 / $983.84 / $1,894.00	Facility		$392.52	$983.84	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.04 / $1,447.92 / $2,335.44	Facility		$1,239.04	$1,447.92	$2,335.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $392.52 / $542.14 / $940.11	Facility		$392.52	$542.14	$940.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $424.42 / $779.02 / $8,384.00	Facility		$424.42	$779.02	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $392.52 / $542.14 / $940.11	Facility		$392.52	$542.14	$940.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $862.16 / $1,232.69 / $1,700.15	Professional		$862.16	$1,232.69	$1,700.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,631.84 / $3,631.84 / $3,631.84	Facility		$3,631.84	$3,631.84	$3,631.84
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