Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.07 / $1,914.82 / $14,482.00	Facility		$892.07	$1,914.82	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,396.98 / $2,801.06 / $4,296.89	Facility		$2,396.98	$2,801.06	$4,296.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $892.07 / $1,171.66 / $2,127.58	Facility		$892.07	$1,171.66	$2,127.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.07 / $1,842.03 / $14,246.00	Facility		$892.07	$1,842.03	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $892.07 / $1,171.66 / $2,127.58	Facility		$892.07	$1,171.66	$2,127.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,860.30 / $2,266.69 / $3,383.74	Professional		$1,860.30	$2,266.69	$3,383.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,452.45 / $5,452.45 / $5,452.45	Facility		$5,452.45	$5,452.45	$5,452.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $433.26 / $433.26 / $433.26	Facility	AS	$433.26	$433.26	$433.26
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