Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.45 / $1,875.98 / $14,482.00	Facility		$998.45	$1,875.98	$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 $2,374.44 / $2,774.73 / $4,475.55	Facility		$2,374.44	$2,774.73	$4,475.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $917.15 / $1,000.52 / $1,792.61	Facility		$917.15	$1,000.52	$1,792.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $998.45 / $8,791.00 / $17,200.00	Facility		$998.45	$8,791.00	$17,200.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $917.15 / $1,000.52 / $1,792.61	Facility		$917.15	$1,000.52	$1,792.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,812.20 / $2,788.00 / $3,296.25	Professional		$1,812.20	$2,788.00	$3,296.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,189.40 / $22,189.40 / $22,189.40	Facility		$22,189.40	$22,189.40	$22,189.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00