Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.77 / $696.96 / $14,482.00	Facility		$332.77	$696.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,653.00 / $11,863.00	Facility		$4,637.00	$7,653.00	$11,863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.48 / $1,017.23 / $1,560.45	Facility		$870.48	$1,017.23	$1,560.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $332.77 / $495.62 / $834.47	Facility		$332.77	$495.62	$834.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.57 / $676.76 / $1,756.00	Facility		$337.57	$676.76	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $332.77 / $489.75 / $834.47	Facility		$332.77	$489.75	$834.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $708.06 / $863.28 / $1,288.71	Professional		$708.06	$863.28	$1,288.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,650.07 / $1,650.07 / $1,650.07	Facility		$1,650.07	$1,650.07	$1,650.07
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,031.29 / $1,031.29 / $1,031.29	Facility	62	$1,031.29	$1,031.29	$1,031.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $165.01 / $165.01 / $165.01	Facility	AS	$165.01	$165.01	$165.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90