Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.67 / $1,756.76 / $14,482.00	Facility		$842.67	$1,756.76	$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 $2,205.94 / $2,577.82 / $3,954.44	Facility		$2,205.94	$2,577.82	$3,954.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $842.67 / $1,197.99 / $1,951.95	Facility		$842.67	$1,197.99	$1,951.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.92 / $1,708.28 / $16,976.00	Facility		$843.92	$1,708.28	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $842.67 / $1,197.99 / $1,951.95	Facility		$842.67	$1,197.99	$1,951.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,748.50 / $2,130.48 / $3,180.39	Professional		$1,748.50	$2,130.48	$3,180.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,162.70 / $5,162.70 / $5,162.70	Facility		$5,162.70	$5,162.70	$5,162.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $407.22 / $407.22 / $407.22	Facility	AS	$407.22	$407.22	$407.22
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $17,119.00 / $22,229.00	Facility		$8,452.00	$17,119.00	$22,229.00