Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.64 / $1,668.35 / $14,482.00	Facility		$790.64	$1,668.35	$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 $2,105.02 / $2,459.88 / $3,773.52	Facility		$2,105.02	$2,459.88	$3,773.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $790.64 / $1,185.96 / $1,853.73	Facility		$790.64	$1,185.96	$1,853.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.64 / $1,636.60 / $13,120.00	Facility		$790.64	$1,636.60	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $790.64 / $1,185.96 / $1,853.73	Facility		$790.64	$1,185.96	$1,853.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.75 / $1,976.04 / $2,949.84	Professional		$1,621.75	$1,976.04	$2,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,787.75 / $4,787.75 / $4,787.75	Facility		$4,787.75	$4,787.75	$4,787.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $377.70 / $377.70 / $377.70	Facility	AS	$377.70	$377.70	$377.70
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