Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.24 / $1,415.74 / $14,482.00	Facility		$669.24	$1,415.74	$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 $1,786.02 / $2,087.11 / $3,201.67	Facility		$1,786.02	$2,087.11	$3,201.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $669.24 / $956.95 / $1,570.00	Facility		$669.24	$956.95	$1,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $669.24 / $1,391.95 / $14,246.00	Facility		$669.24	$1,391.95	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $669.24 / $956.95 / $1,570.00	Facility		$669.24	$956.95	$1,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,413.75 / $1,722.60 / $2,571.50	Professional		$1,413.75	$1,722.60	$2,571.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,605.72 / $11,605.72 / $11,605.72	Facility		$11,605.72	$11,605.72	$11,605.72
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $329.26 / $329.26 / $329.26	Facility	AS	$329.26	$329.26	$329.26
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