Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.38 / $613.58 / $14,482.00	Facility		$276.38	$613.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.25 / $891.92 / $1,368.22	Facility		$763.25	$891.92	$1,368.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $276.38 / $409.05 / $681.75	Facility		$276.38	$409.05	$681.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.06 / $497.48 / $6,235.00	Facility		$285.06	$497.48	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $276.38 / $386.93 / $681.75	Facility		$276.38	$386.93	$681.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $648.29 / $790.42 / $1,179.94	Professional		$648.29	$790.42	$1,179.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,510.80 / $1,510.80 / $1,510.80	Facility		$1,510.80	$1,510.80	$1,510.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00