Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.87 / $953.55 / $14,482.00	Facility		$421.87	$953.55	$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 $1,194.89 / $1,396.32 / $2,141.98	Facility		$1,194.89	$1,396.32	$2,141.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $421.87 / $590.62 / $953.55	Facility		$421.87	$590.62	$953.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.80 / $722.95 / $7,891.00	Facility		$423.80	$722.95	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $421.87 / $590.62 / $953.55	Facility		$421.87	$590.62	$953.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $911.95 / $1,111.18 / $1,658.77	Professional		$911.95	$1,111.18	$1,658.77
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