Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.24 / $1,557.22 / $14,482.00	Facility		$744.24	$1,557.22	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,684.00 / $4,193.00 / $5,962.00	Facility		$1,684.00	$4,193.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,944.62 / $2,272.44 / $3,485.98	Facility		$1,944.62	$2,272.44	$3,485.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $744.24 / $1,107.35 / $1,865.38	Facility		$744.24	$1,107.35	$1,865.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $754.97 / $1,231.69 / $2,043.20	Facility		$754.97	$1,231.69	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $744.24 / $1,105.53 / $1,865.38	Facility		$744.24	$1,105.53	$1,865.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,595.42 / $1,945.15 / $2,903.73	Professional		$1,595.42	$1,945.15	$2,903.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,026.72 / $13,026.72 / $13,026.72	Facility		$13,026.72	$13,026.72	$13,026.72
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,323.71 / $2,323.71 / $2,323.71	Facility	62	$2,323.71	$2,323.71	$2,323.71
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $371.79 / $371.79 / $371.79	Facility	AS	$371.79	$371.79	$371.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90