Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.30 / $2,221.42 / $14,482.00	Facility		$992.30	$2,221.42	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,789.87 / $3,260.18 / $5,258.56	Facility		$2,789.87	$3,260.18	$5,258.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $992.30 / $1,460.48 / $2,637.44	Facility		$992.30	$1,460.48	$2,637.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,086.03 / $2,637.44 / $7,700.00	Facility		$1,086.03	$2,637.44	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $992.30 / $1,487.44 / $2,637.44	Facility		$992.30	$1,487.44	$2,637.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,282.15 / $3,511.00 / $4,656.89	Professional		$2,282.15	$3,511.00	$4,656.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,271.20 / $13,271.20 / $13,271.20	Facility		$13,271.20	$13,271.20	$13,271.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $531.50 / $531.50 / $531.50	Facility	AS	$531.50	$531.50	$531.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00