Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.25 / $632.23 / $14,482.00	Facility		$287.25	$632.23	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,466.00 / $15,738.00 / $23,778.77	Facility		$9,466.00	$15,738.00	$23,778.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.79 / $928.77 / $1,424.76	Facility		$794.79	$928.77	$1,424.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $287.25 / $365.85 / $639.64	Facility		$287.25	$365.85	$639.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.25 / $515.14 / $13,250.00	Facility		$287.25	$515.14	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $287.25 / $359.67 / $639.64	Facility		$287.25	$359.67	$639.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $620.75 / $756.36 / $1,129.09	Professional		$620.75	$756.36	$1,129.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,188.42 / $30,188.42 / $83,333.30	Facility		$30,188.42	$30,188.42	$83,333.30
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