Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.54 / $726.10 / $14,482.00	Facility		$427.54	$726.10	$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 $904.72 / $1,057.24 / $1,705.29	Facility		$904.72	$1,057.24	$1,705.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.98 / $494.54 / $693.83	Facility		$354.98	$494.54	$693.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.94 / $7,590.00 / $15,743.00	Facility		$408.94	$7,590.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $354.98 / $494.54 / $693.83	Facility		$354.98	$494.54	$693.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $728.65 / $1,122.92 / $1,434.80	Professional		$728.65	$1,122.92	$1,434.80
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
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,279.44 / $1,279.44 / $1,279.44	Facility	AS	$1,279.44	$1,279.44	$1,279.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00