Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.34 / $328.52 / $14,482.00	Facility		$203.34	$328.52	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $11,448.40	Facility		$5,169.00	$7,532.89	$11,448.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.31 / $475.97 / $767.72	Facility		$407.31	$475.97	$767.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.61 / $255.35 / $313.92	Facility		$160.61	$255.35	$313.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.71 / $3,364.00 / $7,868.00	Facility		$185.71	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $160.61 / $255.35 / $313.92	Facility		$160.61	$255.35	$313.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $401.50 / $578.02	Professional		$260.14	$401.50	$578.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $770.52 / $770.52 / $770.52	Facility		$770.52	$770.52	$770.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $77.05 / $77.05 / $77.05	Facility	AS	$77.05	$77.05	$77.05
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