Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.78 / $1,081.33 / $14,482.00	Facility		$574.78	$1,081.33	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,376.91 / $1,609.03 / $2,595.31	Facility		$1,376.91	$1,609.03	$2,595.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $528.65 / $645.78 / $2,404.21	Facility		$528.65	$645.78	$2,404.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.78 / $2,404.21 / $12,622.22	Facility		$574.78	$2,404.21	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $528.65 / $645.78 / $2,404.21	Facility		$528.65	$645.78	$2,404.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,040.65 / $1,569.82 / $1,892.86	Professional		$1,040.65	$1,569.82	$1,892.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,196.53 / $1,196.53 / $1,196.53	Facility	AS	$1,196.53	$1,196.53	$1,196.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00