Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.53 / $1,941.34 / $14,482.00	Facility		$926.53	$1,941.34	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,678.00 / $17,296.00	Facility		$5,169.00	$8,678.00	$17,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,422.21 / $2,830.54 / $4,342.13	Facility		$2,422.21	$2,830.54	$4,342.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $926.53 / $1,343.96 / $2,157.05	Facility		$926.53	$1,343.96	$2,157.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $926.53 / $1,906.77 / $13,120.00	Facility		$926.53	$1,906.77	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $926.53 / $1,343.96 / $2,157.05	Facility		$926.53	$1,343.96	$2,157.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,891.50 / $2,304.71 / $3,440.49	Professional		$1,891.50	$2,304.71	$3,440.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,530.75 / $5,530.75 / $5,530.75	Facility		$5,530.75	$5,530.75	$5,530.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $440.52 / $440.52 / $440.52	Facility	AS	$440.52	$440.52	$440.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00