Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.53 / $1,390.50 / $14,482.00	Facility		$853.53	$1,390.50	$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 $1,731.05 / $2,022.87 / $3,262.82	Facility		$1,731.05	$2,022.87	$3,262.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $679.80 / $1,068.32 / $1,512.00	Facility		$679.80	$1,068.32	$1,512.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.19 / $8,791.00 / $16,779.00	Facility		$783.19	$8,791.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $679.80 / $1,068.32 / $1,512.00	Facility		$679.80	$1,068.32	$1,512.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,395.55 / $2,154.94 / $2,808.88	Professional		$1,395.55	$2,154.94	$2,808.88
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