Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $14,482.00	Facility		$73.81	$73.81	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.76 / $247.46 / $379.61	Facility		$211.76	$247.46	$379.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $91.51 / $175.70	Facility		$73.81	$91.51	$175.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.81 / $112.22 / $1,778.00	Facility		$74.81	$112.22	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $91.51 / $175.70	Facility		$73.81	$91.51	$175.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $200.36 / $288.44	Professional		$152.40	$200.36	$288.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,779.00 / $3,779.00 / $3,779.00	Facility		$3,779.00	$3,779.00	$3,779.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $38.45 / $38.45 / $38.45	Facility	AS	$38.45	$38.45	$38.45
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