Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.44 / $504.99 / $14,482.00	Facility		$227.44	$504.99	$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 $630.78 / $737.12 / $1,130.76	Facility		$630.78	$737.12	$1,130.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $227.44 / $341.16 / $561.10	Facility		$227.44	$341.16	$561.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.89 / $448.10 / $5,887.00	Facility		$238.89	$448.10	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $227.44 / $341.16 / $561.10	Facility		$227.44	$341.16	$561.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $519.03 / $632.80 / $944.66	Professional		$519.03	$632.80	$944.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,239.62 / $4,239.62 / $4,239.62	Facility		$4,239.62	$4,239.62	$4,239.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $120.96 / $120.96 / $120.96	Facility	AS	$120.96	$120.96	$120.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00