Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.62 / $496.76 / $14,482.00	Facility		$293.62	$496.76	$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 $621.77 / $726.59 / $1,171.97	Facility		$621.77	$726.59	$1,171.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $341.80 / $474.68	Facility		$242.86	$341.80	$474.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.17 / $6,241.00 / $13,918.00	Facility		$267.17	$6,241.00	$13,918.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $341.80 / $474.68	Facility		$242.86	$341.80	$474.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.60 / $726.68 / $989.17	Professional		$470.60	$726.68	$989.17
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00