Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.20 / $1,085.95 / $14,482.00	Facility		$274.20	$1,085.95	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.64 / $887.70 / $1,361.76	Facility		$759.64	$887.70	$1,361.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $274.20 / $411.32 / $669.36	Facility		$274.20	$411.32	$669.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.61 / $521.49 / $1,778.00	Facility		$286.61	$521.49	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $274.20 / $411.32 / $669.36	Facility		$274.20	$411.32	$669.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $629.46 / $767.45 / $1,145.65	Professional		$629.46	$767.45	$1,145.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,117.28 / $5,117.28 / $5,117.28	Facility		$5,117.28	$5,117.28	$5,117.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $146.69 / $146.69 / $146.69	Facility	AS	$146.69	$146.69	$146.69
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