Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.17 / $684.53 / $14,482.00	Facility		$428.17	$684.53	$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 $1,208.40 / $1,412.11 / $2,277.69	Facility		$1,208.40	$1,412.11	$2,277.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $262.54 / $491.50 / $821.44	Facility		$262.54	$491.50	$821.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $294.95 / $634.85 / $8,384.00	Facility		$294.95	$634.85	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $262.54 / $491.50 / $869.86	Facility		$262.54	$491.50	$869.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $553.15 / $921.56 / $1,434.47	Professional		$553.15	$921.56	$1,434.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,999.92 / $1,999.92 / $1,999.92	Facility		$1,999.92	$1,999.92	$1,999.92
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