Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.49 / $2,028.83 / $14,482.00	Facility		$962.49	$2,028.83	$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 $2,561.88 / $2,993.76 / $4,592.51	Facility		$2,561.88	$2,993.76	$4,592.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $962.49 / $1,420.45 / $2,254.25	Facility		$962.49	$1,420.45	$2,254.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $962.49 / $1,995.14 / $14,246.00	Facility		$962.49	$1,995.14	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $962.49 / $1,393.88 / $2,254.25	Facility		$962.49	$1,393.88	$2,254.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,974.70 / $2,406.10 / $3,591.83	Professional		$1,974.70	$2,406.10	$3,591.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,176.00 / $8,176.00 / $8,176.00	Facility		$8,176.00	$8,176.00	$8,176.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $459.90 / $459.90 / $459.90	Facility	AS	$459.90	$459.90	$459.90
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