Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.70 / $511.09 / $14,482.00	Facility		$250.70	$511.09	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.08 / $733.96 / $1,183.84	Facility		$628.08	$733.96	$1,183.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $249.87 / $293.32 / $488.37	Facility		$249.87	$293.32	$488.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.70 / $6,564.00 / $12,216.00	Facility		$250.70	$6,564.00	$12,216.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $249.87 / $293.32 / $488.37	Facility		$249.87	$293.32	$488.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $590.83 / $882.00	Professional		$320.63	$590.83	$882.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00