Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.84 / $557.84 / $14,482.00	Facility		$251.84	$557.84	$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 $697.47 / $815.05 / $1,250.30	Facility		$697.47	$815.05	$1,250.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.84 / $375.24 / $618.57	Facility		$251.84	$375.24	$618.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.84 / $404.06 / $5,887.00	Facility		$251.84	$404.06	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $251.84 / $371.90 / $618.57	Facility		$251.84	$371.90	$618.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $571.65 / $696.96 / $1,040.42	Professional		$571.65	$696.96	$1,040.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,678.93 / $4,678.93 / $4,678.93	Facility		$4,678.93	$4,678.93	$4,678.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $133.22 / $133.22 / $133.22	Facility	AS	$133.22	$133.22	$133.22
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