Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.07 / $1,558.68 / $14,849.45	Facility		$482.07	$1,558.68	$14,849.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.34 / $1,540.58 / $2,484.91	Facility		$1,318.34	$1,540.58	$2,484.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $482.07 / $685.03 / $2,226.61	Facility		$482.07	$685.03	$2,226.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $511.10 / $5,356.00 / $16,779.00	Facility		$511.10	$5,356.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $482.07 / $685.03 / $2,226.61	Facility		$482.07	$685.03	$2,226.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,013.35 / $1,559.00 / $2,162.32	Professional		$1,013.35	$1,559.00	$2,162.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00