Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.43 / $8,466.00 / $21,116.01	Facility		$805.43	$8,466.00	$21,116.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,934.70 / $2,260.86 / $3,646.68	Facility		$1,934.70	$2,260.86	$3,646.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $740.56 / $902.90 / $2,949.96	Facility		$740.56	$902.90	$2,949.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.43 / $2,949.96 / $11,598.00	Facility		$805.43	$2,949.96	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $740.56 / $902.90 / $2,949.96	Facility		$740.56	$902.90	$2,949.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,452.10 / $2,123.13 / $2,641.26	Professional		$1,452.10	$2,123.13	$2,641.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $900.13 / $900.13 / $900.13	Facility	AS	$900.13	$900.13	$900.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00