Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $338.47 / $14,482.00	Facility		$153.13	$338.47	$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 $424.43 / $495.98 / $760.84	Facility		$424.43	$495.98	$760.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $229.71 / $376.08	Facility		$153.13	$229.71	$376.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $295.60 / $5,887.00	Facility		$155.76	$295.60	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $229.71 / $376.08	Facility		$153.13	$229.71	$376.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.39 / $415.01 / $619.53	Professional		$340.39	$415.01	$619.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,806.16 / $2,806.16 / $2,806.16	Facility		$2,806.16	$2,806.16	$2,806.16
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $79.33 / $79.33 / $79.33	Facility	AS	$79.33	$79.33	$79.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,032.00 / $19,003.00	Facility		$2,429.00	$6,032.00	$19,003.00