Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.03 / $1,894.00 / $14,482.00	Facility		$907.03	$1,894.00	$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 $2,368.14 / $2,767.36 / $4,245.21	Facility		$2,368.14	$2,767.36	$4,245.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $907.03 / $1,348.38 / $2,236.96	Facility		$907.03	$1,348.38	$2,236.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,368.00 / $2,300.89	Facility		$916.00	$1,368.00	$2,300.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $907.03 / $1,332.43 / $2,236.96	Facility		$907.03	$1,332.43	$2,236.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,922.82 / $2,344.32 / $3,499.61	Professional		$1,922.82	$2,344.32	$3,499.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,715.42 / $15,715.42 / $15,715.42	Facility		$15,715.42	$15,715.42	$15,715.42
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $448.09 / $448.09 / $448.09	Facility	AS	$448.09	$448.09	$448.09
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