Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.39 / $1,540.17 / $14,482.00	Facility		$814.39	$1,540.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,201.00 / $15,668.00	Facility		$6,538.00	$10,201.00	$15,668.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,953.63 / $2,282.96 / $3,682.35	Facility		$1,953.63	$2,282.96	$3,682.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $757.18 / $917.25 / $3,321.06	Facility		$757.18	$917.25	$3,321.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $814.39 / $3,321.06 / $14,978.00	Facility		$814.39	$3,321.06	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $757.18 / $917.25 / $3,321.06	Facility		$757.18	$917.25	$3,321.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,492.40 / $2,251.25 / $2,714.56	Professional		$1,492.40	$2,251.25	$2,714.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,240.78 / $6,240.78 / $6,240.78	Facility		$6,240.78	$6,240.78	$6,240.78
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $347.57 / $347.57 / $347.57	Facility	AS	$347.57	$347.57	$347.57
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00