Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $3,119.00 / $14,482.00	Facility		$550.91	$3,119.00	$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 $976.81 / $1,141.48 / $1,841.17	Facility		$976.81	$1,141.48	$1,841.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.60 / $456.71 / $714.44	Facility		$338.60	$456.71	$714.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $352.93 / $4,103.00 / $8,384.00	Facility		$352.93	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $338.60 / $456.71 / $755.53	Facility		$338.60	$456.71	$755.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $658.80 / $869.62 / $1,298.17	Professional		$658.80	$869.62	$1,298.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
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