Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.32 / $2,009.68 / $14,482.00	Facility		$957.32	$2,009.68	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,217.00 / $15,287.53	Facility		$5,169.00	$8,217.00	$15,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,533.05 / $2,960.07 / $4,540.82	Facility		$2,533.05	$2,960.07	$4,540.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $957.32 / $1,435.98 / $2,232.98	Facility		$957.32	$1,435.98	$2,232.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $957.32 / $1,970.58 / $13,120.00	Facility		$957.32	$1,970.58	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $957.32 / $1,435.98 / $2,232.98	Facility		$957.32	$1,435.98	$2,232.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,961.05 / $2,389.46 / $3,567.00	Professional		$1,961.05	$2,389.46	$3,567.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,967.74 / $6,967.74 / $6,967.74	Facility		$6,967.74	$6,967.74	$6,967.74
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $456.72 / $456.72 / $456.72	Facility	AS	$456.72	$456.72	$456.72
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