Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.25 / $690.98 / $8,282.09	Facility		$117.25	$690.98	$8,282.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $965.10 / $1,127.80 / $1,730.07	Facility		$965.10	$1,127.80	$1,730.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.05 / $251.30 / $488.52	Facility		$125.05	$251.30	$488.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.18 / $307.10 / $8,793.34	Facility		$137.18	$307.10	$8,793.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.09 / $251.30 / $488.52	Facility		$125.09	$251.30	$488.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $506.13 / $763.40 / $1,093.70	Professional		$506.13	$763.40	$1,093.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,610.52 / $1,610.52 / $5,090.88	Facility		$1,610.52	$1,610.52	$5,090.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.00 / $9,882.00 / $12,631.00	Facility		$4,897.00	$9,882.00	$12,631.00