Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.67 / $1,385.17 / $14,482.00	Facility		$858.67	$1,385.17	$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 $1,722.94 / $2,013.39 / $3,247.53	Facility		$1,722.94	$2,013.39	$3,247.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $677.19 / $1,078.46 / $2,486.25	Facility		$677.19	$1,078.46	$2,486.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.73 / $2,678.00 / $7,700.00	Facility		$782.73	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $677.19 / $1,078.46 / $2,486.25	Facility		$677.19	$1,078.46	$2,486.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,394.25 / $2,152.94 / $2,807.95	Professional		$1,394.25	$2,152.94	$2,807.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,247.12 / $3,247.12 / $3,247.12	Facility		$3,247.12	$3,247.12	$3,247.12
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $324.70 / $324.70 / $324.70	Facility	AS	$324.70	$324.70	$324.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00