Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.13 / $1,557.88 / $14,482.00	Facility		$765.13	$1,557.88	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,959.94 / $2,290.34 / $3,694.24	Facility		$1,959.94	$2,290.34	$3,694.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $762.65 / $1,036.15 / $4,940.41	Facility		$762.65	$1,036.15	$4,940.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $765.13 / $4,940.41 / $23,474.00	Facility		$765.13	$4,940.41	$23,474.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $762.65 / $1,106.11 / $4,940.41	Facility		$762.65	$1,106.11	$4,940.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,482.65 / $2,289.44 / $3,051.33	Professional		$1,482.65	$2,289.44	$3,051.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $98,066.20 / $98,066.20 / $98,066.20	Facility		$98,066.20	$98,066.20	$98,066.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $9,295.29 / $9,295.29 / $9,295.29	Facility	AS	$9,295.29	$9,295.29	$9,295.29
United Facility/Professional Facility Modifier Low / Median / High Price $9,596.00 / $16,424.00 / $23,474.00	Facility		$9,596.00	$16,424.00	$23,474.00