Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.48 / $2,262.64 / $14,482.00	Facility		$785.48	$2,262.64	$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 $1,586.87 / $1,854.39 / $2,991.06	Facility		$1,586.87	$1,854.39	$2,991.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $620.67 / $983.38 / $1,774.50	Facility		$620.67	$983.38	$1,774.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.94 / $8,627.00 / $16,779.00	Facility		$715.94	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $620.67 / $983.38 / $1,774.50	Facility		$620.67	$983.38	$1,774.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,275.95 / $1,970.26 / $2,576.86	Professional		$1,275.95	$1,970.26	$2,576.86
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 $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00