Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.27 / $1,415.81 / $14,482.00	Facility		$671.27	$1,415.81	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,792.33 / $2,094.48 / $3,212.98	Facility		$1,792.33	$2,094.48	$3,212.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $671.27 / $943.88 / $1,573.13	Facility		$671.27	$943.88	$1,573.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $671.27 / $1,375.09 / $11,100.00	Facility		$671.27	$1,375.09	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $671.27 / $939.78 / $1,573.13	Facility		$671.27	$939.78	$1,573.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,374.75 / $1,675.08 / $2,500.56	Professional		$1,374.75	$1,675.08	$2,500.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,692.96 / $5,692.96 / $5,692.96	Facility		$5,692.96	$5,692.96	$5,692.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $320.17 / $320.17 / $320.17	Facility	AS	$320.17	$320.17	$320.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00