Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.83 / $1,690.76 / $14,482.00	Facility		$805.83	$1,690.76	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,140.16 / $2,500.94 / $3,836.52	Facility		$2,140.16	$2,500.94	$3,836.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $805.83 / $1,050.85 / $1,780.88	Facility		$805.83	$1,050.85	$1,780.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.83 / $1,470.00 / $7,891.00	Facility		$805.83	$1,470.00	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $805.83 / $1,048.56 / $1,780.88	Facility		$805.83	$1,048.56	$1,780.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,644.50 / $2,003.76 / $2,991.22	Professional		$1,644.50	$2,003.76	$2,991.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,821.36 / $6,821.36 / $6,821.36	Facility		$6,821.36	$6,821.36	$6,821.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $383.00 / $383.00 / $383.00	Facility	AS	$383.00	$383.00	$383.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00