Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.13 / $691.74 / $14,482.00	Facility		$330.13	$691.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,755.00 / $15,278.00 / $22,428.00	Facility		$8,755.00	$15,278.00	$22,428.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.27 / $1,008.80 / $1,547.53	Facility		$863.27	$1,008.80	$1,547.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $330.13 / $484.49 / $768.60	Facility		$330.13	$484.49	$768.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.86 / $671.55 / $1,756.00	Facility		$334.86	$671.55	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $330.13 / $484.03 / $768.60	Facility		$330.13	$484.03	$768.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $704.17 / $858.53 / $1,281.60	Professional		$704.17	$858.53	$1,281.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,756.38 / $5,756.38 / $5,756.38	Facility		$5,756.38	$5,756.38	$5,756.38
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,025.63 / $1,025.63 / $1,025.63	Facility	62	$1,025.63	$1,025.63	$1,025.63
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $164.10 / $164.10 / $164.10	Facility	AS	$164.10	$164.10	$164.10
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