Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.47 / $385.04 / $14,482.00	Facility		$239.47	$385.04	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.49 / $559.16 / $901.90	Facility		$478.49	$559.16	$901.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $301.68 / $987.53	Facility		$188.24	$301.68	$987.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.11 / $2,429.00 / $7,700.00	Facility		$219.11	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $188.24 / $301.68 / $987.53	Facility		$188.24	$301.68	$987.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $390.65 / $603.22 / $782.76	Professional		$390.65	$603.22	$782.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,401.63 / $1,401.63 / $1,401.63	Facility		$1,401.63	$1,401.63	$1,401.63
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $876.02 / $876.02 / $876.02	Facility	62	$876.02	$876.02	$876.02
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $140.16 / $140.16 / $140.16	Facility	AS	$140.16	$140.16	$140.16
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