Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.09 / $1,692.18 / $14,482.00	Facility		$993.09	$1,692.18	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.42 / $2,476.73 / $3,994.87	Facility		$2,119.42	$2,476.73	$3,994.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.29 / $1,140.48 / $1,616.97	Facility		$827.29	$1,140.48	$1,616.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.65 / $2,553.00 / $7,700.00	Facility		$946.65	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $827.29 / $1,140.48 / $1,616.97	Facility		$827.29	$1,140.48	$1,616.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,686.10 / $2,594.00 / $3,307.66	Professional		$1,686.10	$2,594.00	$3,307.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,883.84 / $15,883.84 / $15,883.84	Facility		$15,883.84	$15,883.84	$15,883.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $392.69 / $392.69 / $392.69	Facility	AS	$392.69	$392.69	$392.69
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