Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.45 / $927.45 / $14,482.00	Facility		$579.45	$927.45	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,166.95 / $1,363.67 / $2,199.56	Facility		$1,166.95	$1,363.67	$2,199.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $453.42 / $647.35 / $904.01	Facility		$453.42	$647.35	$904.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.57 / $15,854.90 / $28,824.00	Facility		$515.57	$15,854.90	$28,824.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $453.42 / $647.35 / $904.01	Facility		$453.42	$647.35	$904.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $721.16 / $1,191.03 / $1,668.23	Professional		$721.16	$1,191.03	$1,668.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77,231.80 / $77,231.80 / $77,231.80	Facility		$77,231.80	$77,231.80	$77,231.80
United Facility/Professional Facility Modifier Low / Median / High Price $11,078.00 / $19,708.00 / $24,111.00	Facility		$11,078.00	$19,708.00	$24,111.00