Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $9,331.91 / $17,823.00	Facility		$954.99	$9,331.91	$17,823.00
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 $2,946.66 / $3,443.41 / $5,554.10	Facility		$2,946.66	$3,443.41	$5,554.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,496.55 / $2,873.56	Facility		$954.99	$1,496.55	$2,873.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,039.33 / $5,630.59 / $15,743.00	Facility		$1,039.33	$5,630.59	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,496.55 / $2,873.56	Facility		$954.99	$1,496.55	$2,873.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,321.15 / $3,211.85 / $4,221.99	Professional		$2,321.15	$3,211.85	$4,221.99
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