Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.03 / $2,745.61 / $24,553.40	Facility		$955.03	$2,745.61	$24,553.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,821.00 / $7,344.00 / $10,382.04	Facility		$4,821.00	$7,344.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,922.99 / $2,247.17 / $3,624.60	Facility		$1,922.99	$2,247.17	$3,624.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $753.16 / $1,198.73 / $1,890.00	Facility		$753.16	$1,198.73	$1,890.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.28 / $2,678.00 / $7,700.00	Facility		$871.28	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $753.16 / $1,198.73 / $1,890.00	Facility		$753.16	$1,198.73	$1,890.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,552.85 / $2,397.84 / $3,129.86	Professional		$1,552.85	$2,397.84	$3,129.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,231.12 / $8,231.12 / $8,231.12	Facility		$8,231.12	$8,231.12	$8,231.12
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $361.65 / $361.65 / $361.65	Facility	AS	$361.65	$361.65	$361.65
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