Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.76 / $1,201.16 / $14,482.00	Facility		$534.76	$1,201.16	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,594.00 / $5,962.00	Facility		$1,905.00	$3,594.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.79 / $1,780.67 / $2,872.16	Facility		$1,523.79	$1,780.67	$2,872.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $534.76 / $772.14 / $1,181.53	Facility		$534.76	$772.14	$1,181.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.24 / $1,244.86 / $6,150.00	Facility		$587.24	$1,244.86	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $534.76 / $772.14 / $1,181.53	Facility		$534.76	$772.14	$1,181.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,226.55 / $1,887.00 / $2,455.92	Professional		$1,226.55	$1,887.00	$2,455.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,890.52 / $7,890.52 / $7,890.52	Facility		$7,890.52	$7,890.52	$7,890.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $285.66 / $285.66 / $285.66	Facility	AS	$285.66	$285.66	$285.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00