Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.07 / $502.40 / $14,482.00	Facility		$231.07	$502.40	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,738.00 / $23,778.77	Facility		$8,139.00	$15,738.00	$23,778.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $635.29 / $742.39 / $1,197.44	Facility		$635.29	$742.39	$1,197.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $231.07 / $303.29 / $483.00	Facility		$231.07	$303.29	$483.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.07 / $5,266.00 / $15,743.00	Facility		$231.07	$5,266.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $231.07 / $303.29 / $483.00	Facility		$231.07	$303.29	$483.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $468.65 / $721.00 / $999.91	Professional		$468.65	$721.00	$999.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87,223.00 / $87,223.00 / $87,223.00	Facility		$87,223.00	$87,223.00	$87,223.00
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