Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.28 / $2,076.91 / $14,482.00	Facility		$983.28	$2,076.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,217.00 / $15,287.53	Facility		$5,169.00	$8,217.00	$15,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,622.26 / $3,064.32 / $4,700.74	Facility		$2,622.26	$3,064.32	$4,700.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $923.07 / $1,276.13 / $2,173.05	Facility		$923.07	$1,276.13	$2,173.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $941.01 / $2,039.84 / $13,120.00	Facility		$941.01	$2,039.84	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $923.07 / $1,276.13 / $2,173.05	Facility		$923.07	$1,276.13	$2,173.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,019.55 / $2,460.73 / $3,673.41	Professional		$2,019.55	$2,460.73	$3,673.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,363.95 / $8,363.95 / $8,363.95	Facility		$8,363.95	$8,363.95	$8,363.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $470.35 / $470.35 / $470.35	Facility	AS	$470.35	$470.35	$470.35
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