Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.64 / $496.91 / $14,482.00	Facility		$292.64	$496.91	$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 $622.66 / $727.64 / $1,173.66	Facility		$622.66	$727.64	$1,173.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $242.94 / $339.81 / $474.83	Facility		$242.94	$339.81	$474.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.19 / $7,590.00 / $15,702.00	Facility		$276.19	$7,590.00	$15,702.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $242.94 / $339.81 / $474.83	Facility		$242.94	$339.81	$474.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $490.75 / $757.79 / $987.09	Professional		$490.75	$757.79	$987.09
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 $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00