Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.22 / $435.26 / $14,482.00	Facility		$270.22	$435.26	$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 $542.47 / $633.91 / $1,022.50	Facility		$542.47	$633.91	$1,022.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $339.53 / $1,549.89	Facility		$212.80	$339.53	$1,549.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.65 / $2,429.00 / $7,700.00	Facility		$245.65	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $339.53 / $1,549.89	Facility		$212.80	$339.53	$1,549.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $437.45 / $675.49 / $885.02	Professional		$437.45	$675.49	$885.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,931.00 / $1,931.00 / $1,931.00	Facility		$1,931.00	$1,931.00	$1,931.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $101.88 / $101.88 / $101.88	Facility	AS	$101.88	$101.88	$101.88
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