Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $376.02 / $14,482.00	Facility		$86.57	$376.02	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,425.00 / $4,433.00	Facility		$1,139.00	$2,425.00	$4,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.13 / $307.48 / $408.67	Facility		$263.13	$307.48	$408.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.89 / $131.58 / $220.02	Facility		$86.89	$131.58	$220.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.83 / $171.48 / $1,778.00	Facility		$97.83	$171.48	$1,778.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $48.29 / $48.29 / $48.29	Facility	AS	$48.29	$48.29	$48.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.89 / $132.68 / $237.53	Facility		$86.89	$132.68	$237.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $277.52 / $362.26	Professional		$207.35	$277.52	$362.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $1,300.00 / $1,300.00	Facility		$212.64	$1,300.00	$1,300.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $21.26 / $48.29 / $48.29	Facility	AS	$21.26	$48.29	$48.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90