Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.88 / $1,729.51 / $14,482.00	Facility		$463.88	$1,729.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,738.00 / $18,187.00 / $23,460.00	Facility		$15,738.00	$18,187.00	$23,460.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,210.20 / $1,414.22 / $2,169.44	Facility		$1,210.20	$1,414.22	$2,169.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.88 / $649.42 / $1,072.79	Facility		$463.88	$649.42	$1,072.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $470.56 / $941.98 / $1,789.00	Facility		$470.56	$941.98	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $463.88 / $649.42 / $1,072.79	Facility		$463.88	$649.42	$1,072.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $989.34 / $1,206.22 / $1,800.64	Professional		$989.34	$1,206.22	$1,800.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,074.08 / $8,074.08 / $8,074.08	Facility		$8,074.08	$8,074.08	$8,074.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $230.56 / $230.56 / $230.56	Facility	AS	$230.56	$230.56	$230.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90