Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.65 / $2,910.34 / $14,482.00	Facility		$730.65	$2,910.34	$14,482.00
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 $2,059.06 / $2,406.17 / $3,881.07	Facility		$2,059.06	$2,406.17	$3,881.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $730.65 / $1,074.78 / $1,679.90	Facility		$730.65	$1,074.78	$1,679.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $798.35 / $5,266.00 / $15,743.00	Facility		$798.35	$5,266.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $730.65 / $1,100.40 / $1,679.90	Facility		$730.65	$1,100.40	$1,679.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,677.65 / $2,581.00 / $3,430.55	Professional		$1,677.65	$2,581.00	$3,430.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,524.30 / $17,524.30 / $17,524.30	Facility		$17,524.30	$17,524.30	$17,524.30
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $10,381.59 / $10,381.59 / $10,381.59	Facility	62	$10,381.59	$10,381.59	$10,381.59
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,661.06 / $1,661.06 / $1,661.06	Facility	AS	$1,661.06	$1,661.06	$1,661.06
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00