Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.25 / $2,810.61 / $10,154.51	Facility		$726.25	$2,810.61	$10,154.51
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 $1,997.78 / $2,334.57 / $3,765.57	Facility		$1,997.78	$2,334.57	$3,765.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $775.67 / $945.82 / $2,934.08	Facility		$775.67	$945.82	$2,934.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $770.99 / $2,934.08 / $12,622.22	Facility		$770.99	$2,934.08	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $775.67 / $945.82 / $2,934.08	Facility		$775.67	$945.82	$2,934.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,523.60 / $2,344.00 / $2,771.31	Professional		$1,523.60	$2,344.00	$2,771.31
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