Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.99 / $1,818.43 / $16,035.18	Facility		$848.99	$1,818.43	$16,035.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.65 / $2,676.80 / $4,317.59	Facility		$2,290.65	$2,676.80	$4,317.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $848.99 / $1,153.99 / $1,838.94	Facility		$848.99	$1,153.99	$1,838.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $889.01 / $6,154.00 / $16,779.00	Facility		$889.01	$6,154.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $848.99 / $1,153.99 / $1,838.94	Facility		$848.99	$1,153.99	$1,838.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,754.35 / $2,708.99 / $3,896.28	Professional		$1,754.35	$2,708.99	$3,896.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
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