Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.37 / $3,140.67 / $13,367.00	Facility		$937.37	$3,140.67	$13,367.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,230.27 / $2,606.25 / $4,203.79	Facility		$2,230.27	$2,606.25	$4,203.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.41 / $1,057.79 / $3,426.24	Facility		$870.41	$1,057.79	$3,426.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $903.47 / $3,426.24 / $14,978.00	Facility		$903.47	$3,426.24	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $870.41 / $1,057.79 / $3,426.24	Facility		$870.41	$1,057.79	$3,426.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,703.65 / $2,621.00 / $3,098.81	Professional		$1,703.65	$2,621.00	$3,098.81
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00