Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.89 / $799.38 / $1,894.00	Facility		$315.89	$799.38	$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 $1,013.76 / $1,184.66 / $1,910.81	Facility		$1,013.76	$1,184.66	$1,910.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $311.81 / $426.34 / $620.21	Facility		$311.81	$426.34	$620.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.81 / $609.44 / $8,384.00	Facility		$311.81	$609.44	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $283.45 / $426.34 / $620.21	Facility		$283.45	$426.34	$620.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.96 / $988.48 / $1,379.74	Professional		$693.96	$988.48	$1,379.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,555.63 / $2,555.63 / $2,555.63	Facility		$2,555.63	$2,555.63	$2,555.63
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