Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.22 / $1,527.59 / $14,482.00	Facility		$733.22	$1,527.59	$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 $1,921.19 / $2,245.06 / $3,443.98	Facility		$1,921.19	$2,245.06	$3,443.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $733.22 / $1,099.83 / $1,697.33	Facility		$733.22	$1,099.83	$1,697.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $1,484.62 / $16,976.00	Facility		$736.69	$1,484.62	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $733.22 / $1,099.83 / $1,697.33	Facility		$733.22	$1,099.83	$1,697.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,523.60 / $1,856.45 / $2,771.31	Professional		$1,523.60	$1,856.45	$2,771.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,406.60 / $5,406.60 / $5,406.60	Facility		$5,406.60	$5,406.60	$5,406.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $354.84 / $354.84 / $354.84	Facility	AS	$354.84	$354.84	$354.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00