Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.54 / $433.31 / $14,482.00	Facility		$211.54	$433.31	$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 $771.36 / $901.39 / $1,453.92	Facility		$771.36	$901.39	$1,453.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.56 / $256.39 / $519.97	Facility		$128.56	$256.39	$519.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.96 / $397.42 / $8,384.00	Facility		$142.96	$397.42	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.56 / $256.39 / $521.29	Facility		$128.56	$256.39	$521.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $298.55 / $473.55 / $897.89	Professional		$298.55	$473.55	$897.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $983.58 / $983.58 / $983.58	Facility		$983.58	$983.58	$983.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00