Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.12 / $1,310.24 / $14,482.00	Facility		$767.12	$1,310.24	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $13,015.00 / $20,550.38	Facility		$7,084.00	$13,015.00	$20,550.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.64 / $1,920.73 / $3,098.06	Facility		$1,643.64	$1,920.73	$3,098.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.80 / $944.21 / $3,135.51	Facility		$698.80	$944.21	$3,135.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $729.62 / $3,135.51 / $19,754.00	Facility		$729.62	$3,135.51	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.80 / $944.21 / $3,135.51	Facility		$698.80	$944.21	$3,135.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,298.70 / $1,998.00 / $2,538.27	Professional		$1,298.70	$1,998.00	$2,538.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,957.74 / $9,957.74 / $9,957.74	Facility		$9,957.74	$9,957.74	$9,957.74
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $302.45 / $302.45 / $302.45	Facility	AS	$302.45	$302.45	$302.45
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00