Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.43 / $1,869.26 / $14,482.00	Facility		$45.43	$1,869.26	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,502.29 / $18,294.00	Facility		$5,169.00	$8,502.29	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,342.91 / $2,737.88 / $4,416.10	Facility		$2,342.91	$2,737.88	$4,416.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $913.86 / $1,317.81 / $1,808.17	Facility		$913.86	$1,317.81	$1,808.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,057.33 / $2,803.00 / $7,868.00	Facility		$1,057.33	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $913.86 / $1,317.81 / $1,808.17	Facility		$913.86	$1,317.81	$1,808.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,885.65 / $2,911.73 / $3,805.06	Professional		$1,885.65	$2,911.73	$3,805.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,010.87 / $10,010.87 / $10,010.87	Facility		$10,010.87	$10,010.87	$10,010.87
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $441.81 / $441.81 / $441.81	Facility	AS	$441.81	$441.81	$441.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00