Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.77 / $939.66 / $14,482.00	Facility		$383.77	$939.66	$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 $665.93 / $778.19 / $1,255.19	Facility		$665.93	$778.19	$1,255.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.33 / $322.33 / $522.39	Facility		$234.33	$322.33	$522.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.46 / $4,103.00 / $8,384.00	Facility		$251.46	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $234.33 / $322.33 / $522.39	Facility		$234.33	$322.33	$522.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.20 / $603.50 / $856.64	Professional		$457.20	$603.50	$856.64
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