Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.02 / $691.88 / $3,119.00	Facility		$201.02	$691.88	$3,119.00
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 $941.67 / $1,100.42 / $1,774.93	Facility		$941.67	$1,100.42	$1,774.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.02 / $338.25 / $661.13	Facility		$201.02	$338.25	$661.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.18 / $414.29 / $8,103.00	Facility		$218.18	$414.29	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $338.25 / $661.13	Facility		$200.00	$338.25	$661.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $459.15 / $769.41 / $1,133.19	Professional		$459.15	$769.41	$1,133.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $929.36 / $929.36 / $929.36	Facility		$929.36	$929.36	$929.36
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