Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.43 / $1,516.86 / $14,482.00	Facility		$720.43	$1,516.86	$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 $1,913.08 / $2,235.58 / $3,429.44	Facility		$1,913.08	$2,235.58	$3,429.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $674.16 / $862.92 / $1,685.40	Facility		$674.16	$862.92	$1,685.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $690.98 / $1,490.90 / $14,246.00	Facility		$690.98	$1,490.90	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $674.16 / $862.92 / $1,685.40	Facility		$674.16	$862.92	$1,685.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,476.80 / $1,799.42 / $2,686.19	Professional		$1,476.80	$1,799.42	$2,686.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,114.43 / $6,114.43 / $6,114.43	Facility		$6,114.43	$6,114.43	$6,114.43
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $343.94 / $343.94 / $343.94	Facility	AS	$343.94	$343.94	$343.94
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00