Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.74 / $1,313.44 / $14,482.00	Facility		$812.74	$1,313.44	$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 $1,644.54 / $1,921.78 / $3,099.76	Facility		$1,644.54	$1,921.78	$3,099.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $642.13 / $1,017.37 / $1,439.56	Facility		$642.13	$1,017.37	$1,439.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $739.51 / $9,630.90 / $16,779.00	Facility		$739.51	$9,630.90	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $642.13 / $1,017.37 / $1,439.56	Facility		$642.13	$1,017.37	$1,439.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,317.55 / $2,034.50 / $2,668.13	Professional		$1,317.55	$2,034.50	$2,668.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
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