Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.35 / $603.99 / $14,482.00	Facility		$375.35	$603.99	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,916.00 / $20,227.00	Facility		$8,712.00	$12,916.00	$20,227.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.73 / $876.12 / $1,413.15	Facility		$749.73	$876.12	$1,413.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.27 / $422.39 / $580.11	Facility		$295.27	$422.39	$580.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.90 / $2,803.00 / $7,868.00	Facility		$342.90	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $295.27 / $422.39 / $580.11	Facility		$295.27	$422.39	$580.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $611.00 / $943.48 / $1,226.95	Professional		$611.00	$943.48	$1,226.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $1,423.00 / $1,423.00	Facility		$1,423.00	$1,423.00	$1,423.00
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $889.38 / $889.38 / $889.38	Facility	62	$889.38	$889.38	$889.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $142.30 / $142.30 / $142.30	Facility	AS	$142.30	$142.30	$142.30
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