Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.07 / $1,436.96 / $14,482.00	Facility		$687.07	$1,436.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,684.00 / $4,733.00 / $11,302.00	Facility		$1,684.00	$4,733.00	$11,302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,794.13 / $2,096.58 / $3,216.21	Facility		$1,794.13	$2,096.58	$3,216.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $687.07 / $1,030.60 / $1,774.04	Facility		$687.07	$1,030.60	$1,774.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.96 / $1,436.96 / $14,246.00	Facility		$696.96	$1,436.96	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $687.07 / $1,021.84 / $1,774.04	Facility		$687.07	$1,021.84	$1,774.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,475.24 / $1,798.63 / $2,685.00	Professional		$1,475.24	$1,798.63	$2,685.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,045.46 / $12,045.46 / $12,045.46	Facility		$12,045.46	$12,045.46	$12,045.46
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $343.79 / $343.79 / $343.79	Facility	AS	$343.79	$343.79	$343.79
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