Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.05 / $649.45 / $14,482.00	Facility		$219.05	$649.45	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $593.84 / $693.95 / $1,119.31	Facility		$593.84	$693.95	$1,119.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.05 / $269.72 / $1,154.98	Facility		$219.05	$269.72	$1,154.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.49 / $1,124.00 / $2,043.20	Facility		$220.49	$1,124.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.05 / $269.72 / $1,154.98	Facility		$219.05	$269.72	$1,154.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $467.35 / $721.66 / $850.07	Professional		$467.35	$721.66	$850.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,855.60 / $3,855.60 / $3,855.60	Facility		$3,855.60	$3,855.60	$3,855.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $108.84 / $108.84 / $108.84	Facility	AS	$108.84	$108.84	$108.84
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