Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.18 / $621.38 / $14,482.00	Facility		$298.18	$621.38	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $11,302.00 / $14,586.00	Facility		$10,878.00	$11,302.00	$14,586.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.77 / $907.71 / $1,392.45	Facility		$776.77	$907.71	$1,392.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $298.18 / $447.27 / $775.27	Facility		$298.18	$447.27	$775.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.17 / $621.38 / $14,246.00	Facility		$302.17	$621.38	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $298.18 / $447.27 / $775.27	Facility		$298.18	$447.27	$775.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $631.41 / $769.82 / $1,149.20	Professional		$631.41	$769.82	$1,149.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,180.28 / $5,180.28 / $5,180.28	Facility		$5,180.28	$5,180.28	$5,180.28
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $919.65 / $919.65 / $919.65	Facility	62	$919.65	$919.65	$919.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $147.13 / $147.13 / $147.13	Facility	AS	$147.13	$147.13	$147.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00