Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.72 / $992.63 / $14,482.00	Facility		$615.72	$992.63	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,234.53 / $1,442.65 / $2,326.94	Facility		$1,234.53	$1,442.65	$2,326.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $485.29 / $773.25 / $1,098.26	Facility		$485.29	$773.25	$1,098.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $529.40 / $2,803.00 / $7,700.00	Facility		$529.40	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $485.29 / $773.25 / $1,098.26	Facility		$485.29	$773.25	$1,098.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $998.40 / $1,541.68 / $2,012.82	Professional		$998.40	$1,541.68	$2,012.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,335.40 / $12,335.40 / $12,335.40	Facility		$12,335.40	$12,335.40	$12,335.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $232.52 / $232.52 / $232.52	Facility	AS	$232.52	$232.52	$232.52
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