Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.15 / $727.13 / $14,482.00	Facility		$454.15	$727.13	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $918.24 / $1,073.04 / $1,730.77	Facility		$918.24	$1,073.04	$1,730.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.49 / $496.17 / $710.64	Facility		$355.49	$496.17	$710.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.05 / $14,999.00 / $33,255.00	Facility		$403.05	$14,999.00	$33,255.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.49 / $496.17 / $710.64	Facility		$355.49	$496.17	$710.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $716.95 / $1,107.08 / $1,475.26	Professional		$716.95	$1,107.08	$1,475.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74,997.75 / $74,997.75 / $74,997.75	Facility		$74,997.75	$74,997.75	$74,997.75
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $17,955.00 / $30,720.00	Facility		$8,650.00	$17,955.00	$30,720.00