Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.44 / $782.69 / $1,894.00	Facility		$305.44	$782.69	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.63 / $1,154.11 / $1,861.56	Facility		$987.63	$1,154.11	$1,861.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.43 / $400.15 / $747.90	Facility		$275.43	$400.15	$747.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.04 / $566.33 / $4,195.00	Facility		$286.04	$566.33	$4,195.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $400.15 / $747.90	Facility		$231.00	$400.15	$747.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $669.82 / $958.25 / $1,352.55	Professional		$669.82	$958.25	$1,352.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,473.31 / $2,473.31 / $2,473.31	Facility		$2,473.31	$2,473.31	$2,473.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00