Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.40 / $1,107.38 / $14,482.00	Facility		$523.40	$1,107.38	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.24 / $1,637.46 / $2,511.91	Facility		$1,401.24	$1,637.46	$2,511.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $523.40 / $761.73 / $1,360.84	Facility		$523.40	$761.73	$1,360.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.40 / $1,090.91 / $14,246.00	Facility		$523.40	$1,090.91	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $523.40 / $761.73 / $1,360.84	Facility		$523.40	$761.73	$1,360.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,083.55 / $1,320.26 / $1,970.89	Professional		$1,083.55	$1,320.26	$1,970.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,039.01 / $7,039.01 / $7,039.01	Facility		$7,039.01	$7,039.01	$7,039.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $252.36 / $252.36 / $252.36	Facility	AS	$252.36	$252.36	$252.36
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00