Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.55 / $1,426.66 / $14,482.00	Facility		$653.55	$1,426.66	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
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 $652.71 / $811.61 / $3,207.94	Facility		$652.71	$811.61	$3,207.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.71 / $3,207.94 / $16,779.00	Facility		$652.71	$3,207.94	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $652.71 / $811.61 / $3,207.94	Facility		$652.71	$811.61	$3,207.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,395.55 / $2,147.00 / $2,538.40	Professional		$1,395.55	$2,147.00	$2,538.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
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