Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.69 / $283.69 / $547.80	Facility		$283.69	$283.69	$547.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,550.00	Facility		$1,905.00	$1,979.00	$2,550.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.78 / $449.64 / $725.26	Facility		$384.78	$449.64	$725.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.27 / $207.77 / $641.99	Facility		$150.27	$207.77	$641.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.93 / $1,170.07 / $2,043.20	Facility		$163.93	$1,170.07	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $150.27 / $207.77 / $641.99	Facility		$150.27	$207.77	$641.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.14 / $452.05 / $562.19	Professional		$306.14	$452.05	$562.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,538.68 / $4,538.68 / $4,538.68	Facility		$4,538.68	$4,538.68	$4,538.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,507.00 / $2,202.90	Facility		$1,034.00	$1,507.00	$2,202.90