Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.36 / $1,508.90 / $14,482.00	Facility		$935.36	$1,508.90	$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 $1,891.45 / $2,210.31 / $3,565.15	Facility		$1,891.45	$2,210.31	$3,565.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $737.68 / $1,170.64 / $1,984.50	Facility		$737.68	$1,170.64	$1,984.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $804.74 / $8,627.00 / $16,779.00	Facility		$804.74	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $737.68 / $1,170.64 / $1,984.50	Facility		$737.68	$1,170.64	$1,984.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,515.15 / $2,339.62 / $3,068.76	Professional		$1,515.15	$2,339.62	$3,068.76
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