Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.75 / $1,233.49 / $14,482.00	Facility		$764.75	$1,233.49	$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 $1,533.71 / $1,792.26 / $2,890.85	Facility		$1,533.71	$1,792.26	$2,890.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $603.04 / $960.34 / $2,066.28	Facility		$603.04	$960.34	$2,066.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.22 / $2,678.00 / $7,700.00	Facility		$662.22	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $603.04 / $960.34 / $2,066.28	Facility		$603.04	$960.34	$2,066.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,241.50 / $1,917.07 / $2,499.69	Professional		$1,241.50	$1,917.07	$2,499.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,891.40 / $2,891.40 / $2,891.40	Facility		$2,891.40	$2,891.40	$2,891.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $289.14 / $289.14 / $289.14	Facility	AS	$289.14	$289.14	$289.14
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