Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.66 / $1,027.98 / $14,482.00	Facility		$637.66	$1,027.98	$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 $1,278.69 / $1,494.25 / $2,410.17	Facility		$1,278.69	$1,494.25	$2,410.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $502.57 / $800.86 / $1,646.30	Facility		$502.57	$800.86	$1,646.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $548.26 / $2,629.46 / $7,700.00	Facility		$548.26	$2,629.46	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $502.57 / $800.86 / $1,646.30	Facility		$502.57	$800.86	$1,646.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.15 / $1,596.89 / $2,085.23	Professional		$1,034.15	$1,596.89	$2,085.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,408.46 / $2,408.46 / $2,408.46	Facility		$2,408.46	$2,408.46	$2,408.46
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $240.85 / $240.85 / $240.85	Facility	AS	$240.85	$240.85	$240.85
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