Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.46 / $2,175.14 / $14,482.00	Facility		$975.46	$2,175.14	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,737.60 / $3,199.11 / $4,907.51	Facility		$2,737.60	$3,199.11	$4,907.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $975.46 / $1,429.37 / $2,387.13	Facility		$975.46	$1,429.37	$2,387.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.46 / $1,808.70 / $15,090.00	Facility		$975.46	$1,808.70	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $975.46 / $1,420.87 / $2,387.13	Facility		$975.46	$1,420.87	$2,387.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,157.35 / $2,628.65 / $3,924.05	Professional		$2,157.35	$2,628.65	$3,924.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,625.25 / $1,625.25 / $1,625.25	Facility	AS	$1,625.25	$1,625.25	$1,625.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00