Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.35 / $834.17 / $14,482.00	Facility		$368.35	$834.17	$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 $1,062.42 / $1,241.52 / $1,904.53	Facility		$1,062.42	$1,241.52	$1,904.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $368.35 / $504.23 / $834.17	Facility		$368.35	$504.23	$834.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.35 / $569.49 / $7,891.00	Facility		$368.35	$569.49	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $368.35 / $504.23 / $834.17	Facility		$368.35	$504.23	$834.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $800.80 / $975.74 / $1,456.59	Professional		$800.80	$975.74	$1,456.59
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00