Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.69 / $764.80 / $14,482.00	Facility		$370.69	$764.80	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,389.00 / $20,877.00	Facility		$9,287.00	$13,389.00	$20,877.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.52 / $580.22 / $935.87	Facility		$496.52	$580.22	$935.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $193.57 / $243.45 / $383.65	Facility		$193.57	$243.45	$383.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.57 / $1,209.00 / $3,576.00	Facility		$193.57	$1,209.00	$3,576.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $193.57 / $243.45 / $383.65	Facility		$193.57	$243.45	$383.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $544.91 / $730.66	Professional		$393.90	$544.91	$730.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,878.00 / $15,878.00 / $15,878.00	Facility		$15,878.00	$15,878.00	$15,878.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $10,269.81 / $13,139.87 / $15,102.66	Facility		$10,269.81	$13,139.87	$15,102.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90