Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.19 / $2,150.57 / $14,482.00	Facility		$963.19	$2,150.57	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $19,822.18	Facility		$6,538.00	$10,800.00	$19,822.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,708.77 / $3,165.41 / $5,105.68	Facility		$2,708.77	$3,165.41	$5,105.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $963.19 / $1,422.97 / $2,101.32	Facility		$963.19	$1,422.97	$2,101.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,051.39 / $2,429.00 / $7,700.00	Facility		$1,051.39	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $963.19 / $1,451.61 / $2,101.32	Facility		$963.19	$1,451.61	$2,101.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,212.60 / $3,404.00 / $4,549.58	Professional		$2,212.60	$3,404.00	$4,549.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,222.23 / $14,222.23 / $14,222.23	Facility		$14,222.23	$14,222.23	$14,222.23
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,220.63 / $3,220.63 / $3,220.63	Facility	62	$3,220.63	$3,220.63	$3,220.63
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