Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.58 / $3,115.54 / $14,482.00	Facility		$753.58	$3,115.54	$14,482.00
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 $1,795.93 / $2,098.69 / $3,385.11	Facility		$1,795.93	$2,098.69	$3,385.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $692.64 / $849.25 / $1,974.58	Facility		$692.64	$849.25	$1,974.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $753.58 / $4,635.00 / $15,743.00	Facility		$753.58	$4,635.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $692.64 / $849.25 / $1,974.58	Facility		$692.64	$849.25	$1,974.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,368.90 / $2,106.00 / $2,489.92	Professional		$1,368.90	$2,106.00	$2,489.92
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 $5,859.77 / $11,608.00 / $13,980.00	Facility		$5,859.77	$11,608.00	$13,980.00