Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.56 / $3,463.68 / $10,831.50	Facility		$419.56	$3,463.68	$10,831.50
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 $920.04 / $1,075.14 / $1,734.17	Facility		$920.04	$1,075.14	$1,734.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $321.43 / $427.28 / $681.72	Facility		$321.43	$427.28	$681.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.43 / $681.72 / $8,129.86	Facility		$321.43	$681.72	$8,129.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $321.43 / $427.28 / $681.72	Facility		$321.43	$427.28	$681.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $692.45 / $885.84 / $1,228.56	Professional		$692.45	$885.84	$1,228.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,791.80 / $1,791.80 / $1,791.80	Facility		$1,791.80	$1,791.80	$1,791.80
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