Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.46 / $3,580.55 / $8,243.00	Facility		$348.46	$3,580.55	$8,243.00
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 $841.65 / $983.53 / $1,586.40	Facility		$841.65	$983.53	$1,586.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $348.46 / $466.48 / $1,803.91	Facility		$348.46	$466.48	$1,803.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $348.46 / $3,193.00 / $8,384.00	Facility		$348.46	$3,193.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $348.46 / $532.51 / $1,803.91	Facility		$348.46	$532.51	$1,803.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $979.61 / $1,153.92	Professional		$634.40	$979.61	$1,153.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00