Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.79 / $803.25 / $14,482.00	Facility		$494.79	$803.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,594.00 / $5,962.00	Facility		$1,905.00	$3,594.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $996.64 / $1,164.65 / $1,878.54	Facility		$996.64	$1,164.65	$1,878.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $392.70 / $618.63 / $767.55	Facility		$392.70	$618.63	$767.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $451.13 / $3,364.00 / $7,868.00	Facility		$451.13	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $392.70 / $618.63 / $767.55	Facility		$392.70	$618.63	$767.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $631.72 / $1,043.31 / $1,461.32	Professional		$631.72	$1,043.31	$1,461.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,231.08 / $4,231.08 / $4,231.08	Facility		$4,231.08	$4,231.08	$4,231.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $187.11 / $187.11 / $187.11	Facility	AS	$187.11	$187.11	$187.11
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