Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.09 / $937.13 / $2,697.97	Facility		$418.09	$937.13	$2,697.97
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 $1,982.46 / $2,316.67 / $3,553.83	Facility		$1,982.46	$2,316.67	$3,553.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $416.50 / $704.87 / $1,268.77	Facility		$416.50	$704.87	$1,268.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.50 / $807.37 / $6,669.00	Facility		$416.50	$807.37	$6,669.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $416.50 / $704.87 / $1,268.77	Facility		$416.50	$704.87	$1,268.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,112.78 / $1,724.98 / $2,571.05	Professional		$1,112.78	$1,724.98	$2,571.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $2,219.92	Facility		$1,900.50	$1,900.50	$2,219.92
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