Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $1,310.28 / $14,482.00	Facility		$235.00	$1,310.28	$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 $2,321.29 / $2,712.61 / $4,375.34	Facility		$2,321.29	$2,712.61	$4,375.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $746.95 / $1,492.68	Facility		$173.09	$746.95	$1,492.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $1,310.28 / $8,384.00	Facility		$173.09	$1,310.28	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $654.47 / $1,533.03	Facility		$173.09	$654.47	$1,533.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.58 / $868.32 / $2,611.46	Professional		$340.58	$868.32	$2,611.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $1,352.00 / $1,352.00	Facility		$1,352.00	$1,352.00	$1,352.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,665.92 / $7,611.00 / $9,134.00	Facility		$4,665.92	$7,611.00	$9,134.00