Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.45 / $1,638.36 / $14,482.00	Facility		$775.45	$1,638.36	$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 $2,064.46 / $2,412.48 / $3,700.82	Facility		$2,064.46	$2,412.48	$3,700.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $775.45 / $1,142.99 / $1,820.40	Facility		$775.45	$1,142.99	$1,820.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $775.45 / $1,608.65 / $14,246.00	Facility		$775.45	$1,608.65	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $775.45 / $1,131.52 / $1,820.40	Facility		$775.45	$1,131.52	$1,820.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,638.65 / $1,996.63 / $2,980.58	Professional		$1,638.65	$1,996.63	$2,980.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,448.26 / $13,448.26 / $13,448.26	Facility		$13,448.26	$13,448.26	$13,448.26
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $381.64 / $381.64 / $381.64	Facility	AS	$381.64	$381.64	$381.64
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