Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.57 / $1,973.50 / $14,482.00	Facility		$949.57	$1,973.50	$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 $2,522.23 / $2,947.43 / $4,521.43	Facility		$2,522.23	$2,947.43	$4,521.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $949.57 / $1,239.55 / $2,013.09	Facility		$949.57	$1,239.55	$2,013.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $949.57 / $1,857.70 / $14,246.00	Facility		$949.57	$1,857.70	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $949.57 / $1,194.31 / $2,013.09	Facility		$949.57	$1,194.31	$2,013.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,911.00 / $2,328.48 / $3,475.96	Professional		$1,911.00	$2,328.48	$3,475.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,993.09 / $7,993.09 / $7,993.09	Facility		$7,993.09	$7,993.09	$7,993.09
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $445.06 / $445.06 / $445.06	Facility	AS	$445.06	$445.06	$445.06
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00