Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.30 / $1,452.22 / $14,482.00	Facility		$690.30	$1,452.22	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,822.97 / $2,130.28 / $3,267.90	Facility		$1,822.97	$2,130.28	$3,267.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $690.30 / $966.42 / $1,613.58	Facility		$690.30	$966.42	$1,613.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $690.30 / $1,417.67 / $8,296.28	Facility		$690.30	$1,417.67	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $690.30 / $966.42 / $1,613.58	Facility		$690.30	$966.42	$1,613.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,383.20 / $1,685.38 / $2,515.92	Professional		$1,383.20	$1,685.38	$2,515.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,768.60 / $7,768.60 / $7,768.60	Facility		$7,768.60	$7,768.60	$7,768.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $736.98 / $736.98 / $736.98	Facility	AS	$736.98	$736.98	$736.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00