Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.58 / $592.74 / $14,482.00	Facility		$348.58	$592.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,485.00 / $18,276.00	Facility		$7,084.00	$11,485.00	$18,276.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.82 / $864.54 / $1,394.47	Facility		$739.82	$864.54	$1,394.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $289.77 / $403.33 / $566.40	Facility		$289.77	$403.33	$566.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.86 / $7,590.00 / $15,743.00	Facility		$332.86	$7,590.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $289.77 / $403.33 / $566.40	Facility		$289.77	$403.33	$566.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $592.79 / $915.37 / $1,171.13	Professional		$592.79	$915.37	$1,171.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,486.75 / $13,486.75 / $13,486.75	Facility		$13,486.75	$13,486.75	$13,486.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,279.44 / $1,279.44 / $1,279.44	Facility	AS	$1,279.44	$1,279.44	$1,279.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00