Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.57 / $2,011.41 / $14,482.00	Facility		$904.57	$2,011.41	$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 $2,542.96 / $2,971.65 / $4,793.17	Facility		$2,542.96	$2,971.65	$4,793.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $904.57 / $1,354.85 / $5,409.75	Facility		$904.57	$1,354.85	$5,409.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $983.36 / $2,678.00 / $7,700.00	Facility		$983.36	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $904.57 / $1,420.66 / $5,409.75	Facility		$904.57	$1,420.66	$5,409.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,053.35 / $3,159.00 / $4,270.22	Professional		$2,053.35	$3,159.00	$4,270.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,231.24 / $13,231.24 / $13,231.24	Facility		$13,231.24	$13,231.24	$13,231.24
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,988.85 / $2,988.85 / $2,988.85	Facility	62	$2,988.85	$2,988.85	$2,988.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $478.22 / $478.22 / $478.22	Facility	AS	$478.22	$478.22	$478.22
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