Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $1,043.54 / $6,461.00	Facility		$204.58	$1,043.54	$6,461.00
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 $2,668.22 / $3,118.02 / $5,029.26	Facility		$2,668.22	$3,118.02	$5,029.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $416.68 / $1,464.82	Facility		$204.58	$416.68	$1,464.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.02 / $1,464.82 / $11,598.00	Facility		$219.02	$1,464.82	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $416.68 / $1,464.82	Facility		$204.58	$416.68	$1,464.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $456.45 / $921.98 / $3,369.56	Professional		$456.45	$921.98	$3,369.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,742.78 / $1,742.78 / $1,742.78	Facility		$1,742.78	$1,742.78	$1,742.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00