Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.04 / $2,798.36 / $8,466.00	Facility		$663.04	$2,798.36	$8,466.00
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 $1,584.17 / $1,851.23 / $2,985.96	Facility		$1,584.17	$1,851.23	$2,985.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $610.62 / $746.18 / $2,166.08	Facility		$610.62	$746.18	$2,166.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.62 / $4,017.00 / $12,622.22	Facility		$610.62	$4,017.00	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $610.62 / $746.18 / $2,166.08	Facility		$610.62	$746.18	$2,166.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.50 / $1,830.09 / $2,187.26	Professional		$1,202.50	$1,830.09	$2,187.26
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00