Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.14 / $1,618.29 / $14,482.00	Facility		$992.14	$1,618.29	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,014.00 / $2,353.52 / $3,796.15	Facility		$2,014.00	$2,353.52	$3,796.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $791.16 / $1,096.28 / $1,738.23	Facility		$791.16	$1,096.28	$1,738.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $863.09 / $6,241.00 / $12,216.00	Facility		$863.09	$6,241.00	$12,216.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $791.16 / $1,096.28 / $1,738.23	Facility		$791.16	$1,096.28	$1,738.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.75 / $2,504.23 / $3,267.81	Professional		$1,621.75	$2,504.23	$3,267.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $7,984.00 / $7,984.00	Facility		$7,984.00	$7,984.00	$7,984.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $757.42 / $757.42 / $757.42	Facility	AS	$757.42	$757.42	$757.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00