Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.88 / $656.84 / $14,482.00	Facility		$406.88	$656.84	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $815.51 / $952.99 / $1,537.14	Facility		$815.51	$952.99	$1,537.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $321.12 / $455.52 / $634.16	Facility		$321.12	$455.52	$634.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $362.89 / $7,251.10 / $12,631.00	Facility		$362.89	$7,251.10	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $321.12 / $455.52 / $634.16	Facility		$321.12	$455.52	$634.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $642.85 / $992.66 / $1,327.44	Professional		$642.85	$992.66	$1,327.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00