Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.43 / $514.76 / $14,482.00	Facility		$239.43	$514.76	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.40 / $751.86 / $1,212.73	Facility		$643.40	$751.86	$1,212.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.43 / $335.58 / $703.50	Facility		$239.43	$335.58	$703.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.66 / $1,716.00 / $7,700.00	Facility		$251.66	$1,716.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $239.43 / $335.58 / $703.50	Facility		$239.43	$335.58	$703.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $515.45 / $793.59 / $1,110.29	Professional		$515.45	$793.59	$1,110.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,922.50 / $2,922.50 / $2,922.50	Facility		$2,922.50	$2,922.50	$2,922.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $120.05 / $120.05 / $120.05	Facility	AS	$120.05	$120.05	$120.05
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