Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.53 / $641.48 / $14,482.00	Facility		$396.53	$641.48	$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 $802.90 / $938.25 / $1,513.36	Facility		$802.90	$938.25	$1,513.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $432.81 / $621.72	Facility		$313.61	$432.81	$621.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.07 / $19,585.00 / $34,485.00	Facility		$359.07	$19,585.00	$34,485.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $432.81 / $621.72	Facility		$313.61	$432.81	$621.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $502.41 / $829.75 / $1,162.20	Professional		$502.41	$829.75	$1,162.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $143,001.50 / $143,001.50 / $143,001.50	Facility		$143,001.50	$143,001.50	$143,001.50
United Facility/Professional Facility Modifier Low / Median / High Price $13,528.00 / $21,823.00 / $27,528.00	Facility		$13,528.00	$21,823.00	$27,528.00