Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.85 / $1,894.00 / $14,866.12	Facility		$475.85	$1,894.00	$14,866.12
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 $1,358.89 / $1,587.97 / $2,435.98	Facility		$1,358.89	$1,587.97	$2,435.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $473.05 / $570.77 / $1,070.19	Facility		$473.05	$570.77	$1,070.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.64 / $733.30 / $7,891.00	Facility		$475.64	$733.30	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $473.05 / $570.77 / $1,070.19	Facility		$473.05	$570.77	$1,070.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,027.65 / $1,252.15 / $1,869.22	Professional		$1,027.65	$1,252.15	$1,869.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
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