Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.96 / $1,648.62 / $14,482.00	Facility		$1,011.96	$1,648.62	$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 $2,063.56 / $2,411.44 / $3,889.57	Facility		$2,063.56	$2,411.44	$3,889.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $805.99 / $1,110.83 / $1,604.87	Facility		$805.99	$1,110.83	$1,604.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.15 / $2,803.00 / $7,868.00	Facility		$920.15	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $805.99 / $1,110.83 / $1,604.87	Facility		$805.99	$1,110.83	$1,604.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $2,529.32 / $3,331.00	Professional		$1,638.00	$2,529.32	$3,331.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,814.81 / $3,814.81 / $3,814.81	Facility		$3,814.81	$3,814.81	$3,814.81
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $381.48 / $381.48 / $381.48	Facility	AS	$381.48	$381.48	$381.48
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