Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $501.84 / $14,482.00	Facility		$266.61	$501.84	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.88 / $736.07 / $1,187.25	Facility		$629.88	$736.07	$1,187.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.34 / $302.32 / $806.70	Facility		$245.34	$302.32	$806.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.61 / $806.70 / $2,043.20	Facility		$266.61	$806.70	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $245.34 / $302.32 / $806.70	Facility		$245.34	$302.32	$806.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $485.55 / $749.76 / $883.18	Professional		$485.55	$749.76	$883.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,930.50 / $3,930.50 / $3,930.50	Facility		$3,930.50	$3,930.50	$3,930.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $113.08 / $113.08 / $113.08	Facility	AS	$113.08	$113.08	$113.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90