Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.51 / $1,178.36 / $14,482.00	Facility		$726.51	$1,178.36	$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 $1,472.43 / $1,720.65 / $2,775.35	Facility		$1,472.43	$1,720.65	$2,775.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $576.09 / $909.23 / $1,277.65	Facility		$576.09	$909.23	$1,277.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $628.46 / $8,627.00 / $16,779.00	Facility		$628.46	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $576.09 / $909.23 / $1,277.65	Facility		$576.09	$909.23	$1,277.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,183.65 / $1,827.74 / $2,388.44	Professional		$1,183.65	$1,827.74	$2,388.44
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 / $13,721.00 / $17,327.00	Facility		$8,627.00	$13,721.00	$17,327.00