Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $208.93 / $14,454.40	Facility		$85.11	$208.93	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $489.78	Facility		$263.03	$309.03	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $3,311.31	Facility		$91.20	$165.96	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.83 / $1,737.80	Facility		$100.00	$177.83	$1,737.80
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	AS	$47.86	$47.86	$47.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $223.87 / $323.59	Professional		$123.03	$223.87	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,288.25 / $1,288.25	Facility		$263.03	$1,288.25	$1,288.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $26.30 / $66.07 / $66.07	Facility	AS	$26.30	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84