Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.34 / $1,537.58 / $14,482.00	Facility		$951.34	$1,537.58	$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 $1,922.09 / $2,246.11 / $3,622.90	Facility		$1,922.09	$2,246.11	$3,622.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $751.71 / $1,064.38 / $1,685.04	Facility		$751.71	$1,064.38	$1,685.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.03 / $8,627.00 / $16,779.00	Facility		$866.03	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $751.71 / $1,064.38 / $1,685.04	Facility		$751.71	$1,064.38	$1,685.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,543.10 / $2,382.78 / $3,119.67	Professional		$1,543.10	$2,382.78	$3,119.67
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