Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $2,690.51 / $14,482.00	Facility		$20.65	$2,690.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $21,984.61	Facility		$7,084.00	$12,066.00	$21,984.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,363.88 / $3,930.96 / $6,340.50	Facility		$3,363.88	$3,930.96	$6,340.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,434.94 / $1,961.58 / $5,478.21	Facility		$1,434.94	$1,961.58	$5,478.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,511.95 / $2,803.00 / $7,700.00	Facility		$1,511.95	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,434.94 / $1,961.58 / $5,478.21	Facility		$1,434.94	$1,961.58	$5,478.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,693.60 / $4,153.18 / $5,307.59	Professional		$2,693.60	$4,153.18	$5,307.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,365.12 / $25,365.12 / $25,365.12	Facility		$25,365.12	$25,365.12	$25,365.12
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,920.79 / $3,920.79 / $3,920.79	Facility	62	$3,920.79	$3,920.79	$3,920.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $627.33 / $627.33 / $627.33	Facility	AS	$627.33	$627.33	$627.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00