Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.85 / $1,135.40 / $14,482.00	Facility		$696.85	$1,135.40	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,421.07 / $1,660.63 / $2,678.53	Facility		$1,421.07	$1,660.63	$2,678.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.08 / $867.55 / $1,194.49	Facility		$555.08	$867.55	$1,194.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.78 / $2,803.00 / $7,868.00	Facility		$633.78	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $555.08 / $867.55 / $1,194.49	Facility		$555.08	$867.55	$1,194.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,128.40 / $1,742.42 / $2,293.44	Professional		$1,128.40	$1,742.42	$2,293.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,628.01 / $2,628.01 / $2,628.01	Facility		$2,628.01	$2,628.01	$2,628.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $262.80 / $262.80 / $262.80	Facility	AS	$262.80	$262.80	$262.80
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