Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.80 / $15,531.91 / $20,705.22	Facility		$867.80	$15,531.91	$20,705.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,073.48 / $2,423.02 / $3,908.25	Facility		$2,073.48	$2,423.02	$3,908.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $800.60 / $978.24 / $2,350.64	Facility		$800.60	$978.24	$2,350.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $867.80 / $8,627.00 / $16,779.00	Facility		$867.80	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $800.60 / $978.24 / $2,350.64	Facility		$800.60	$978.24	$2,350.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.05 / $2,437.00 / $2,881.27	Professional		$1,584.05	$2,437.00	$2,881.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00