Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.05 / $2,470.36 / $14,482.00	Facility		$859.05	$2,470.36	$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 $1,734.66 / $2,027.08 / $3,269.61	Facility		$1,734.66	$2,027.08	$3,269.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $677.66 / $1,076.26 / $1,911.00	Facility		$677.66	$1,076.26	$1,911.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.70 / $8,627.00 / $16,779.00	Facility		$781.70	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $677.66 / $1,076.26 / $1,911.00	Facility		$677.66	$1,076.26	$1,911.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,392.95 / $2,150.92 / $2,818.45	Professional		$1,392.95	$2,150.92	$2,818.45
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