Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $1,902.94 / $14,482.00	Facility		$904.00	$1,902.94	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $15,287.53	Facility		$5,169.00	$7,532.89	$15,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,401.48 / $2,806.33 / $4,304.97	Facility		$2,401.48	$2,806.33	$4,304.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $1,311.41 / $2,114.38	Facility		$904.00	$1,311.41	$2,114.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $1,818.36 / $13,120.00	Facility		$904.00	$1,818.36	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $1,311.41 / $2,114.38	Facility		$904.00	$1,311.41	$2,114.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,853.80 / $2,258.78 / $3,371.92	Professional		$1,853.80	$2,258.78	$3,371.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,676.48 / $7,676.48 / $7,676.48	Facility		$7,676.48	$7,676.48	$7,676.48
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $431.74 / $431.74 / $431.74	Facility	AS	$431.74	$431.74	$431.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00