Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.73 / $309.73 / $598.29	Facility		$309.73	$309.73	$598.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $9,649.00 / $12,444.00	Facility		$6,159.00	$9,649.00	$12,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.92 / $490.71 / $791.50	Facility		$419.92	$490.71	$791.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $226.85 / $541.77	Facility		$164.12	$226.85	$541.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.04 / $1,100.00 / $2,043.20	Facility		$179.04	$1,100.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.12 / $226.85 / $541.77	Facility		$164.12	$226.85	$541.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $334.75 / $463.09 / $614.55	Professional		$334.75	$463.09	$614.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $2,647.00 / $2,647.00	Facility		$2,647.00	$2,647.00	$2,647.00
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