Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.38 / $1,657.31 / $14,482.00	Facility		$868.38	$1,657.31	$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 $2,080.69 / $2,431.44 / $3,921.84	Facility		$2,080.69	$2,431.44	$3,921.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $868.38 / $1,153.14 / $4,880.88	Facility		$868.38	$1,153.14	$4,880.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.38 / $6,386.00 / $23,474.00	Facility		$868.38	$6,386.00	$23,474.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $868.38 / $1,153.14 / $4,880.88	Facility		$868.38	$1,153.14	$4,880.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,579.50 / $2,438.98 / $2,872.99	Professional		$1,579.50	$2,438.98	$2,872.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97,992.80 / $97,992.80 / $97,992.80	Facility		$97,992.80	$97,992.80	$97,992.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $9,288.33 / $9,288.33 / $9,288.33	Facility	AS	$9,288.33	$9,288.33	$9,288.33
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $16,424.00 / $26,268.00	Facility		$9,662.00	$16,424.00	$26,268.00