Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.44 / $469.80 / $14,482.00	Facility		$212.44	$469.80	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.02 / $681.31 / $1,045.15	Facility		$583.02	$681.31	$1,045.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $212.44 / $318.66 / $565.20	Facility		$212.44	$318.66	$565.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.91 / $415.75 / $1,756.00	Facility		$216.91	$415.75	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.44 / $318.66 / $565.20	Facility		$212.44	$318.66	$565.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $456.67 / $556.78 / $831.16	Professional		$456.67	$556.78	$831.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,067.00 / $3,067.00 / $3,067.00	Facility		$3,067.00	$3,067.00	$3,067.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90