Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.21 / $357.98 / $14,482.00	Facility		$221.21	$357.98	$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 $446.96 / $522.29 / $842.46	Facility		$446.96	$522.29	$842.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.01 / $262.33 / $345.76	Facility		$175.01	$262.33	$345.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.23 / $2,803.00 / $7,868.00	Facility		$201.23	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.01 / $262.33 / $345.76	Facility		$175.01	$262.33	$345.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $358.15 / $553.04 / $727.17	Professional		$358.15	$553.04	$727.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $845.28 / $845.28 / $845.28	Facility		$845.28	$845.28	$845.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $83.41 / $83.41 / $83.41	Facility	AS	$83.41	$83.41	$83.41
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