Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.56 / $687.92 / $14,482.00	Facility		$406.56	$687.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.88 / $1,013.01 / $1,633.96	Facility		$866.88	$1,013.01	$1,633.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $366.89 / $497.43 / $2,537.17	Facility		$366.89	$497.43	$2,537.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.77 / $2,551.25 / $8,783.00	Facility		$373.77	$2,551.25	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $366.89 / $497.43 / $2,537.17	Facility		$366.89	$497.43	$2,537.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $661.05 / $1,020.76 / $1,326.94	Professional		$661.05	$1,020.76	$1,326.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,759.35 / $13,759.35 / $13,759.35	Facility		$13,759.35	$13,759.35	$13,759.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00