Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.27 / $1,668.30 / $11,765.52	Facility		$413.27	$1,668.30	$11,765.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,128.20 / $1,318.39 / $2,126.52	Facility		$1,128.20	$1,318.39	$2,126.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $413.27 / $509.00 / $854.97	Facility		$413.27	$509.00	$854.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $413.27 / $6,564.00 / $12,216.00	Facility		$413.27	$6,564.00	$12,216.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $413.27 / $509.00 / $854.97	Facility		$413.27	$509.00	$854.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $584.10 / $1,076.33 / $1,606.75	Professional		$584.10	$1,076.33	$1,606.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $8,723.79 / $8,723.79	Facility		$8,723.79	$8,723.79	$8,723.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $826.90 / $826.90 / $826.90	Facility	AS	$826.90	$826.90	$826.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00