Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $407.38 / $14,454.40	Facility		$239.88	$407.38	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,417.38	Facility		$9,120.11	$12,882.50	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $954.99	Facility		$501.19	$588.84	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $7,244.36 / $14,454.40	Facility		$229.09	$7,244.36	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,818.38 / $9,549.93	Facility		$229.09	$2,818.38	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $812.83	Professional		$251.19	$489.78	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,288.25	Facility		$512.86	$512.86	$1,288.25
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $407.38 / $407.38 / $1,047.13	Facility	52	$407.38	$407.38	$1,047.13
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $316.23 / $316.23 / $812.83	Facility	62	$316.23	$316.23	$812.83
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $51.29 / $51.29 / $128.82	Facility	AS	$51.29	$51.29	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45