Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.60 / $659.84 / $2,498.30	Facility		$298.60	$659.84	$2,498.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $828.13 / $967.73 / $1,484.53	Facility		$828.13	$967.73	$1,484.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $298.60 / $422.40 / $686.68	Facility		$298.60	$422.40	$686.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.60 / $537.48 / $1,756.00	Facility		$298.60	$537.48	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $298.60 / $422.40 / $686.68	Facility		$298.60	$422.40	$686.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $643.10 / $784.08 / $1,170.48	Professional		$643.10	$784.08	$1,170.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,666.00 / $2,666.00 / $2,666.00	Facility		$2,666.00	$2,666.00	$2,666.00
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