Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.35 / $569.75 / $14,482.00	Facility		$253.35	$569.75	$14,482.00
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 $715.49 / $836.11 / $1,282.60	Facility		$715.49	$836.11	$1,282.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $253.35 / $377.49 / $560.51	Facility		$253.35	$377.49	$560.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.35 / $444.09 / $7,891.00	Facility		$253.35	$444.09	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $253.35 / $377.49 / $560.51	Facility		$253.35	$377.49	$560.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $536.25 / $653.40 / $975.40	Professional		$536.25	$653.40	$975.40
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