Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.35 / $454.97 / $14,482.00	Facility		$267.35	$454.97	$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 $568.61 / $664.46 / $1,071.75	Facility		$568.61	$664.46	$1,071.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $242.65 / $324.10 / $1,005.15	Facility		$242.65	$324.10	$1,005.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.79 / $1,005.15 / $12,631.00	Facility		$245.79	$1,005.15	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $242.65 / $327.91 / $1,005.15	Facility		$242.65	$327.91	$1,005.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $433.55 / $669.47 / $898.30	Professional		$433.55	$669.47	$898.30
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 $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00