Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.37 / $295.58 / $14,482.00	Facility		$175.37	$295.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.56 / $430.69 / $694.69	Facility		$368.56	$430.69	$694.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.51 / $204.48 / $282.45	Facility		$144.51	$204.48	$282.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.10 / $2,553.00 / $7,700.00	Facility		$167.10	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.51 / $204.48 / $282.45	Facility		$144.51	$204.48	$282.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $297.70 / $459.69 / $592.32	Professional		$297.70	$459.69	$592.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $693.34 / $693.34 / $693.34	Facility		$693.34	$693.34	$693.34
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $69.33 / $69.33 / $69.33	Facility	AS	$69.33	$69.33	$69.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00