Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.56 / $6,267.30 / $15,376.45	Facility		$715.56	$6,267.30	$15,376.45
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 $1,128.20 / $1,318.39 / $2,126.52	Facility		$1,128.20	$1,318.39	$2,126.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $408.10 / $511.12 / $832.33	Facility		$408.10	$511.12	$832.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.12 / $753.62 / $8,129.86	Facility		$406.12	$753.62	$8,129.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $399.68 / $511.12 / $832.33	Facility		$399.68	$511.12	$832.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $867.45 / $1,072.23 / $1,504.67	Professional		$867.45	$1,072.23	$1,504.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,263.30 / $2,263.30 / $2,263.30	Facility		$2,263.30	$2,263.30	$2,263.30
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