Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.21 / $415.67 / $14,482.00	Facility		$245.21	$415.67	$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 $520.85 / $608.65 / $981.73	Facility		$520.85	$608.65	$981.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $203.21 / $286.89 / $397.19	Facility		$203.21	$286.89	$397.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.77 / $6,564.00 / $13,918.00	Facility		$222.77	$6,564.00	$13,918.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $203.21 / $286.89 / $397.19	Facility		$203.21	$286.89	$397.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.95 / $605.23 / $840.66	Professional		$391.95	$605.23	$840.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,965.00 / $18,965.00 / $18,965.00	Facility		$18,965.00	$18,965.00	$18,965.00
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