Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.16 / $1,160.33 / $14,482.00	Facility		$554.16	$1,160.33	$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 $1,457.11 / $1,702.75 / $2,612.06	Facility		$1,457.11	$1,702.75	$2,612.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $554.16 / $831.26 / $1,289.25	Facility		$554.16	$831.26	$1,289.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.16 / $1,130.28 / $14,246.00	Facility		$554.16	$1,130.28	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $554.16 / $831.26 / $1,289.25	Facility		$554.16	$831.26	$1,289.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,153.75 / $1,405.80 / $2,098.58	Professional		$1,153.75	$1,405.80	$2,098.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,403.40 / $3,403.40 / $3,403.40	Facility		$3,403.40	$3,403.40	$3,403.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $268.70 / $268.70 / $268.70	Facility	AS	$268.70	$268.70	$268.70
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00