Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $1,740.58 / $14,482.00	Facility		$772.05	$1,740.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,206.84 / $2,578.87 / $4,159.63	Facility		$2,206.84	$2,578.87	$4,159.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $739.47 / $928.31 / $1,663.22	Facility		$739.47	$928.31	$1,663.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $772.05 / $10,396.00 / $31,762.00	Facility		$772.05	$10,396.00	$31,762.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $739.47 / $928.31 / $1,663.22	Facility		$739.47	$928.31	$1,663.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,768.00 / $2,720.00 / $3,479.11	Professional		$1,768.00	$2,720.00	$3,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $149,114.40 / $149,114.40 / $149,114.40	Facility		$149,114.40	$149,114.40	$149,114.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $14,133.93 / $14,133.93 / $14,133.93	Facility	AS	$14,133.93	$14,133.93	$14,133.93
United Facility/Professional Facility Modifier Low / Median / High Price $13,676.00 / $21,823.00 / $27,528.00	Facility		$13,676.00	$21,823.00	$27,528.00