Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.61 / $1,578.98 / $14,482.00	Facility		$980.61	$1,578.98	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $5,768.00	Facility		$1,314.00	$3,163.00	$5,768.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,971.65 / $2,304.03 / $3,716.32	Facility		$1,971.65	$2,304.03	$3,716.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $771.95 / $1,228.66 / $1,805.50	Facility		$771.95	$1,228.66	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $889.93 / $2,257.00 / $4,793.00	Facility		$889.93	$2,257.00	$4,793.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $771.95 / $1,228.66 / $1,805.50	Facility		$771.95	$1,228.66	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,585.35 / $2,448.02 / $3,204.36	Professional		$1,585.35	$2,448.02	$3,204.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,406.62 / $8,406.62 / $8,406.62	Facility		$8,406.62	$8,406.62	$8,406.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $369.22 / $369.22 / $369.22	Facility	AS	$369.22	$369.22	$369.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00