Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.07 / $1,508.56 / $14,482.00	Facility		$933.07	$1,508.56	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,916.00 / $20,227.00	Facility		$8,712.00	$12,916.00	$20,227.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,881.54 / $2,198.73 / $3,546.47	Facility		$1,881.54	$2,198.73	$3,546.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $737.52 / $1,054.34 / $1,456.17	Facility		$737.52	$1,054.34	$1,456.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.59 / $2,803.00 / $7,868.00	Facility		$851.59	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $737.52 / $1,054.34 / $1,456.17	Facility		$737.52	$1,054.34	$1,456.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,517.10 / $2,342.64 / $3,061.96	Professional		$1,517.10	$2,342.64	$3,061.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,827.51 / $9,827.51 / $9,827.51	Facility		$9,827.51	$9,827.51	$9,827.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $353.33 / $353.33 / $353.33	Facility	AS	$353.33	$353.33	$353.33
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