Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.60 / $605.75 / $14,482.00	Facility		$289.60	$605.75	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.04 / $883.49 / $1,355.30	Facility		$756.04	$883.49	$1,355.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $289.60 / $434.40 / $739.25	Facility		$289.60	$434.40	$739.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.75 / $587.34 / $1,756.00	Facility		$293.75	$587.34	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $289.60 / $430.75 / $739.25	Facility		$289.60	$430.75	$739.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $626.21 / $763.49 / $1,139.74	Professional		$626.21	$763.49	$1,139.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,110.56 / $5,110.56 / $5,110.56	Facility		$5,110.56	$5,110.56	$5,110.56
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $145.93 / $145.93 / $145.93	Facility	AS	$145.93	$145.93	$145.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90