Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.97 / $959.67 / $14,482.00	Facility		$289.97	$959.67	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.25 / $796.09 / $1,221.22	Facility		$681.25	$796.09	$1,221.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $259.80 / $353.34 / $653.07	Facility		$259.80	$353.34	$653.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.80 / $398.83 / $10,843.00	Facility		$256.80	$398.83	$10,843.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $257.31 / $339.26 / $638.99	Facility		$257.31	$339.26	$638.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.80 / $630.55 / $1,094.52	Professional		$472.80	$630.55	$1,094.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $25,011.35 / $25,011.35	Facility		$299.52	$25,011.35	$25,011.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00