Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $691.90 / $14,482.00	Facility		$330.58	$691.90	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,351.00 / $4,314.00 / $5,962.00	Facility		$2,351.00	$4,314.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.08 / $1,010.91 / $1,550.76	Facility		$865.08	$1,010.91	$1,550.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $448.73 / $768.78	Facility		$330.58	$448.73	$768.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.36 / $672.00 / $1,778.00	Facility		$335.36	$672.00	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $448.73 / $768.78	Facility		$330.58	$448.73	$768.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $700.92 / $854.57 / $1,275.70	Professional		$700.92	$854.57	$1,275.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,747.42 / $5,747.42 / $5,747.42	Facility		$5,747.42	$5,747.42	$5,747.42
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,020.88 / $1,020.88 / $1,020.88	Facility	62	$1,020.88	$1,020.88	$1,020.88
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $163.34 / $163.34 / $163.34	Facility	AS	$163.34	$163.34	$163.34
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