Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.40 / $8,698.40 / $15,755.37	Facility		$656.40	$8,698.40	$15,755.37
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 $1,803.14 / $2,107.11 / $3,398.70	Facility		$1,803.14	$2,107.11	$3,398.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $654.66 / $812.65 / $3,127.57	Facility		$654.66	$812.65	$3,127.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $654.66 / $7,984.00 / $16,779.00	Facility		$654.66	$7,984.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $654.66 / $894.79 / $3,127.57	Facility		$654.66	$894.79	$3,127.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,391.00 / $2,140.00 / $2,530.12	Professional		$1,391.00	$2,140.00	$2,530.12
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