Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.58 / $11,139.00 / $13,367.00	Facility		$733.58	$11,139.00	$13,367.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,444.00 / $19,639.00	Facility		$8,712.00	$12,444.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.51 / $2,646.26 / $4,268.33	Facility		$2,264.51	$2,646.26	$4,268.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $733.58 / $1,149.31 / $3,121.62	Facility		$733.58	$1,149.31	$3,121.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.29 / $7,217.00 / $15,743.00	Facility		$858.29	$7,217.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $733.58 / $1,149.31 / $3,121.62	Facility		$733.58	$1,149.31	$3,121.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,786.85 / $2,409.50 / $3,250.14	Professional		$1,786.85	$2,409.50	$3,250.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,214.55 / $15,214.55 / $15,214.55	Facility		$15,214.55	$15,214.55	$15,214.55
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,442.13 / $1,442.13 / $1,442.13	Facility	AS	$1,442.13	$1,442.13	$1,442.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00