Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.06 / $1,043.44 / $13,367.00	Facility		$250.06	$1,043.44	$13,367.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,506.01 / $2,928.48 / $4,723.53	Facility		$2,506.01	$2,928.48	$4,723.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $710.60 / $1,742.36	Facility		$249.60	$710.60	$1,742.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $1,349.77 / $11,598.00	Facility		$266.24	$1,349.77	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $249.60 / $710.60 / $1,742.36	Facility		$249.60	$710.60	$1,742.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $530.49 / $955.37 / $3,122.45	Professional		$530.49	$955.37	$3,122.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,628.53 / $1,628.53 / $1,628.53	Facility		$1,628.53	$1,628.53	$1,628.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00