Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.24 / $1,937.63 / $14,482.00	Facility		$912.24	$1,937.63	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,424.00 / $7,210.00	Facility		$2,740.00	$4,424.00	$7,210.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,440.23 / $2,851.61 / $4,374.43	Facility		$2,440.23	$2,851.61	$4,374.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.24 / $1,253.04 / $2,016.05	Facility		$912.24	$1,253.04	$2,016.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.24 / $1,933.95 / $14,270.00	Facility		$912.24	$1,933.95	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $912.24 / $1,253.04 / $2,016.05	Facility		$912.24	$1,253.04	$2,016.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,940.25 / $2,364.12 / $3,529.17	Professional		$1,940.25	$2,364.12	$3,529.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,805.50 / $6,805.50 / $6,805.50	Facility		$6,805.50	$6,805.50	$6,805.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $451.87 / $451.87 / $451.87	Facility	AS	$451.87	$451.87	$451.87
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