Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $210.52 / $832.56	Facility		$210.52	$210.52	$832.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.02 / $681.31 / $1,045.15	Facility		$583.02	$681.31	$1,045.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $294.73 / $519.04	Facility		$210.52	$294.73	$519.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.41 / $378.94 / $5,261.00	Facility		$217.41	$378.94	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $210.52 / $294.73 / $519.04	Facility		$210.52	$294.73	$519.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $493.70 / $601.91 / $898.55	Professional		$493.70	$601.91	$898.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,150.48 / $1,150.48 / $1,150.48	Facility		$1,150.48	$1,150.48	$1,150.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00