Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.39 / $1,541.97 / $14,482.00	Facility		$706.39	$1,541.97	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,930.20 / $2,255.59 / $3,638.19	Facility		$1,930.20	$2,255.59	$3,638.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $706.39 / $898.81 / $3,384.56	Facility		$706.39	$898.81	$3,384.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.96 / $2,429.00 / $7,700.00	Facility		$709.96	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $706.39 / $1,034.10 / $3,384.56	Facility		$706.39	$1,034.10	$3,384.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,534.00 / $2,360.00 / $3,275.89	Professional		$1,534.00	$2,360.00	$3,275.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,737.70 / $11,737.70 / $11,737.70	Facility		$11,737.70	$11,737.70	$11,737.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $357.26 / $357.26 / $357.26	Facility	AS	$357.26	$357.26	$357.26
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