Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.02 / $1,560.10 / $14,482.00	Facility		$914.02	$1,560.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,946.42 / $2,274.54 / $3,668.76	Facility		$1,946.42	$2,274.54	$3,668.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $762.72 / $1,052.61 / $1,490.77	Facility		$762.72	$1,052.61	$1,490.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.73 / $2,678.00 / $9,515.00	Facility		$873.73	$2,678.00	$9,515.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $762.72 / $1,052.61 / $1,490.77	Facility		$762.72	$1,052.61	$1,490.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,556.10 / $2,394.00 / $3,053.16	Professional		$1,556.10	$2,394.00	$3,053.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,613.28 / $14,613.28 / $14,613.28	Facility		$14,613.28	$14,613.28	$14,613.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $362.41 / $362.41 / $362.41	Facility	AS	$362.41	$362.41	$362.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00