Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.84 / $647.26 / $14,482.00	Facility		$562.84	$647.26	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $11,302.00 / $14,586.00	Facility		$10,878.00	$11,302.00	$14,586.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.55 / $888.76 / $1,433.53	Facility		$760.55	$888.76	$1,433.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $298.13 / $411.95 / $677.74	Facility		$298.13	$411.95	$677.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.24 / $8,627.00 / $16,779.00	Facility		$325.24	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $298.13 / $411.95 / $677.74	Facility		$298.13	$411.95	$677.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $606.45 / $904.09 / $1,129.75	Professional		$606.45	$904.09	$1,129.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,576.84 / $4,576.84 / $4,576.84	Facility		$4,576.84	$4,576.84	$4,576.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00