Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.09 / $2,511.82 / $17,823.00	Facility		$749.09	$2,511.82	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.92 / $2,088.16 / $3,368.13	Facility		$1,786.92	$2,088.16	$3,368.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $689.46 / $843.77 / $3,158.33	Facility		$689.46	$843.77	$3,158.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.70 / $3,158.33 / $15,743.00	Facility		$691.70	$3,158.33	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $689.46 / $843.77 / $3,158.33	Facility		$689.46	$843.77	$3,158.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,357.85 / $1,647.80 / $2,469.82	Professional		$1,357.85	$1,647.80	$2,469.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,704.40 / $17,704.40 / $17,704.40	Facility		$17,704.40	$17,704.40	$17,704.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,678.13 / $1,678.13 / $1,678.13	Facility	AS	$1,678.13	$1,678.13	$1,678.13
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