Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.23 / $3,770.08 / $14,551.20	Facility		$973.23	$3,770.08	$14,551.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,662.81 / $3,111.70 / $5,019.07	Facility		$2,662.81	$3,111.70	$5,019.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $973.23 / $1,203.42 / $3,815.20	Facility		$973.23	$1,203.42	$3,815.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.41 / $3,815.20 / $15,126.00	Facility		$973.41	$3,815.20	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $973.23 / $1,203.42 / $3,815.20	Facility		$973.23	$1,203.42	$3,815.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,068.94 / $3,183.00 / $3,763.26	Professional		$2,068.94	$3,183.00	$3,763.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,324.34 / $1,324.34 / $1,324.34	Facility	AS	$1,324.34	$1,324.34	$1,324.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $14,978.00	Facility		$7,301.00	$11,799.00	$14,978.00