Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $349.00 / $14,482.00	Facility		$166.83	$349.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,749.00 / $5,749.00 / $6,159.00	Facility		$5,749.00	$5,749.00	$6,159.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.14 / $509.67 / $781.84	Facility		$436.14	$509.67	$781.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $250.25 / $472.50	Facility		$166.83	$250.25	$472.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.23 / $349.00 / $11,100.00	Facility		$169.23	$349.00	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $250.25 / $472.50	Facility		$166.83	$250.25	$472.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $434.81 / $649.08	Professional		$356.63	$434.81	$649.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $83.11 / $83.11 / $83.11	Facility	AS	$83.11	$83.11	$83.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00