Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.03 / $757.98 / $14,482.00	Facility		$395.03	$757.98	$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 $954.29 / $1,115.16 / $1,798.71	Facility		$954.29	$1,115.16	$1,798.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $395.03 / $529.58 / $1,672.93	Facility		$395.03	$529.58	$1,672.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.03 / $1,672.93 / $14,978.00	Facility		$395.03	$1,672.93	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $395.03 / $529.58 / $1,672.93	Facility		$395.03	$529.58	$1,672.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $720.85 / $1,113.09 / $1,311.17	Professional		$720.85	$1,113.09	$1,311.17
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00