Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.94 / $1,133.53 / $14,482.00	Facility		$705.94	$1,133.53	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.96 / $1,651.15 / $2,663.25	Facility		$1,412.96	$1,651.15	$2,663.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $554.16 / $884.33 / $1,245.66	Facility		$554.16	$884.33	$1,245.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $8,791.00 / $16,779.00	Facility		$639.45	$8,791.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $554.16 / $884.33 / $1,245.66	Facility		$554.16	$884.33	$1,245.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,139.45 / $1,759.49 / $2,296.29	Professional		$1,139.45	$1,759.49	$2,296.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,856.55 / $13,856.55 / $13,856.55	Facility		$13,856.55	$13,856.55	$13,856.55
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,314.53 / $1,314.53 / $1,314.53	Facility	AS	$1,314.53	$1,314.53	$1,314.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00