Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.34 / $6,461.00 / $14,408.89	Facility		$367.34	$6,461.00	$14,408.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.66 / $1,089.89 / $1,757.95	Facility		$932.66	$1,089.89	$1,757.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $367.34 / $507.46 / $2,259.35	Facility		$367.34	$507.46	$2,259.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.34 / $2,259.35 / $8,783.00	Facility		$367.34	$2,259.35	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $367.34 / $507.46 / $2,259.35	Facility		$367.34	$507.46	$2,259.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $711.75 / $1,099.05 / $1,498.66	Professional		$711.75	$1,099.05	$1,498.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00