Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.87 / $1,952.53 / $14,482.00	Facility		$928.87	$1,952.53	$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 $2,459.16 / $2,873.72 / $4,408.35	Facility		$2,459.16	$2,873.72	$4,408.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $928.87 / $1,393.31 / $2,178.46	Facility		$928.87	$1,393.31	$2,178.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $928.87 / $1,952.53 / $13,120.00	Facility		$928.87	$1,952.53	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $928.87 / $1,393.31 / $2,178.46	Facility		$928.87	$1,393.31	$2,178.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.80 / $2,322.14 / $3,466.50	Professional		$1,905.80	$2,322.14	$3,466.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,758.04 / $6,758.04 / $6,758.04	Facility		$6,758.04	$6,758.04	$6,758.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $443.85 / $443.85 / $443.85	Facility	AS	$443.85	$443.85	$443.85
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