Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.47 / $537.21 / $14,482.00	Facility		$265.47	$537.21	$14,482.00
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 $676.74 / $790.83 / $1,275.57	Facility		$676.74	$790.83	$1,275.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $310.60 / $513.33	Facility		$262.64	$310.60	$513.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.47 / $4,103.00 / $8,783.00	Facility		$265.47	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $310.60 / $513.33	Facility		$262.64	$310.60	$513.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $513.50 / $792.92 / $1,063.02	Professional		$513.50	$792.92	$1,063.02
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00