Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.59 / $1,319.17 / $14,482.00	Facility		$619.59	$1,319.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,638.00 / $6,658.26	Facility		$1,905.00	$3,638.00	$6,658.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,668.87 / $1,950.21 / $2,991.67	Facility		$1,668.87	$1,950.21	$2,991.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $619.59 / $806.97 / $1,362.93	Facility		$619.59	$806.97	$1,362.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $619.59 / $1,005.30 / $13,120.00	Facility		$619.59	$1,005.30	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $619.59 / $756.00 / $1,362.93	Facility		$619.59	$756.00	$1,362.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,281.15 / $1,561.03 / $2,330.31	Professional		$1,281.15	$1,561.03	$2,330.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,303.62 / $5,303.62 / $5,303.62	Facility		$5,303.62	$5,303.62	$5,303.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $298.37 / $298.37 / $298.37	Facility	AS	$298.37	$298.37	$298.37
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00