Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.22 / $3,223.73 / $13,789.80	Facility		$444.22	$3,223.73	$13,789.80
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 $1,143.52 / $1,336.30 / $2,155.40	Facility		$1,143.52	$1,336.30	$2,155.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $228.56 / $444.95 / $831.58	Facility		$228.56	$444.95	$831.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.92 / $709.13 / $8,384.00	Facility		$236.92	$709.13	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $228.56 / $444.95 / $831.58	Facility		$228.56	$444.95	$831.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $506.07 / $794.95 / $1,374.90	Professional		$506.07	$794.95	$1,374.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,286.30 / $1,286.30 / $1,286.30	Facility		$1,286.30	$1,286.30	$1,286.30
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