Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $315.18 / $1,894.00	Facility		$142.40	$315.18	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.97 / $820.31 / $1,258.38	Facility		$701.97	$820.31	$1,258.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $256.32 / $500.69	Facility		$142.40	$256.32	$500.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.86 / $306.63 / $3,034.00	Facility		$149.86	$306.63	$3,034.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $256.32 / $500.69	Facility		$142.40	$256.32	$500.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.32 / $562.32 / $878.00	Professional		$349.32	$562.32	$878.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $775.87 / $775.87 / $891.30	Facility		$775.87	$775.87	$891.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00