Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.63 / $708.66 / $14,482.00	Facility		$376.63	$708.66	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.53 / $1,059.34 / $1,708.69	Facility		$906.53	$1,059.34	$1,708.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.46 / $421.46 / $722.20	Facility		$346.46	$421.46	$722.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.63 / $5,266.00 / $14,978.00	Facility		$376.63	$5,266.00	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $346.46 / $421.46 / $722.20	Facility		$346.46	$421.46	$722.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $681.20 / $985.69 / $1,239.05	Professional		$681.20	$985.69	$1,239.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,608.00 / $13,980.00	Facility		$4,635.00	$11,608.00	$13,980.00