Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.41 / $828.25 / $14,482.00	Facility		$515.41	$828.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.18 / $1,201.51 / $1,937.99	Facility		$1,028.18	$1,201.51	$1,937.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $404.92 / $649.49 / $791.44	Facility		$404.92	$649.49	$791.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $470.57 / $3,364.00 / $7,868.00	Facility		$470.57	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $404.92 / $649.49 / $791.44	Facility		$404.92	$649.49	$791.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $554.44 / $1,088.89 / $1,525.17	Professional		$554.44	$1,088.89	$1,525.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,952.82 / $1,952.82 / $1,952.82	Facility		$1,952.82	$1,952.82	$1,952.82
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $195.28 / $195.28 / $195.28	Facility	AS	$195.28	$195.28	$195.28
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