Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.57 / $624.29 / $1,942.20	Facility		$343.57	$624.29	$1,942.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.47 / $1,006.70 / $1,623.77	Facility		$861.47	$1,006.70	$1,623.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.46 / $323.76 / $632.80	Facility		$173.46	$323.76	$632.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.46 / $444.45 / $1,789.00	Facility		$173.46	$444.45	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $173.46 / $323.76 / $632.80	Facility		$173.46	$323.76	$632.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $414.47 / $623.35 / $1,037.45	Professional		$414.47	$623.35	$1,037.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $822.00 / $822.00 / $822.00	Facility		$822.00	$822.00	$822.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90