Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.41 / $3,234.47 / $16,167.36	Facility		$863.41	$3,234.47	$16,167.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $15,287.53	Facility		$5,169.00	$7,532.89	$15,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,287.94 / $2,673.64 / $4,101.43	Facility		$2,287.94	$2,673.64	$4,101.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $863.41 / $1,254.19 / $2,016.50	Facility		$863.41	$1,254.19	$2,016.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $863.41 / $1,734.19 / $13,120.00	Facility		$863.41	$1,734.19	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $863.41 / $1,254.19 / $2,016.50	Facility		$863.41	$1,254.19	$2,016.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,770.60 / $2,157.41 / $3,220.59	Professional		$1,770.60	$2,157.41	$3,220.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,237.05 / $5,237.05 / $5,237.05	Facility		$5,237.05	$5,237.05	$5,237.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $412.36 / $412.36 / $412.36	Facility	AS	$412.36	$412.36	$412.36
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