Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $765.99 / $14,482.00	Facility		$406.07	$765.99	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $980.42 / $1,145.70 / $1,847.97	Facility		$980.42	$1,145.70	$1,847.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.48 / $454.73 / $731.95	Facility		$374.48	$454.73	$731.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $4,103.00 / $8,783.00	Facility		$406.07	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $374.48 / $454.73 / $731.95	Facility		$374.48	$454.73	$731.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $736.45 / $1,066.75 / $1,339.55	Professional		$736.45	$1,066.75	$1,339.55
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 $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00