Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.96 / $1,398.40 / $14,482.00	Facility		$644.96	$1,398.40	$14,482.00
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 $1,758.99 / $2,055.51 / $3,315.47	Facility		$1,758.99	$2,055.51	$3,315.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $644.96 / $910.08 / $1,803.91	Facility		$644.96	$910.08	$1,803.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.66 / $1,803.91 / $16,779.00	Facility		$683.66	$1,803.91	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $644.96 / $910.08 / $1,803.91	Facility		$644.96	$910.08	$1,803.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,386.45 / $2,133.00 / $2,899.07	Professional		$1,386.45	$2,133.00	$2,899.07
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