Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.03 / $524.34 / $14,482.00	Facility		$236.03	$524.34	$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 $653.30 / $763.45 / $1,231.41	Facility		$653.30	$763.45	$1,231.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $236.03 / $313.00 / $507.46	Facility		$236.03	$313.00	$507.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $256.33 / $1,716.00 / $7,700.00	Facility		$256.33	$1,716.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $236.03 / $313.00 / $507.46	Facility		$236.03	$313.00	$507.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $554.45 / $853.00 / $1,144.32	Professional		$554.45	$853.00	$1,144.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,332.36 / $1,332.36 / $1,332.36	Facility		$1,332.36	$1,332.36	$1,332.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $133.24 / $133.24 / $133.24	Facility	AS	$133.24	$133.24	$133.24
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