Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.85 / $593.89 / $14,482.00	Facility		$348.85	$593.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,485.00 / $18,276.00	Facility		$7,084.00	$11,485.00	$18,276.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.62 / $866.64 / $1,397.87	Facility		$741.62	$866.64	$1,397.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $431.82 / $1,406.02	Facility		$316.74	$431.82	$1,406.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.27 / $1,406.02 / $14,978.00	Facility		$333.27	$1,406.02	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $431.82 / $1,406.02	Facility		$316.74	$431.82	$1,406.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $593.45 / $916.38 / $1,172.50	Professional		$593.45	$916.38	$1,172.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,486.75 / $13,486.75 / $13,486.75	Facility		$13,486.75	$13,486.75	$13,486.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00