Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.34 / $6,461.00 / $12,530.46	Facility		$967.34	$6,461.00	$12,530.46
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 $2,732.20 / $3,192.79 / $4,897.82	Facility		$2,732.20	$3,192.79	$4,897.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $967.34 / $1,451.01 / $2,414.40	Facility		$967.34	$1,451.01	$2,414.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $971.25 / $1,967.88 / $15,090.00	Facility		$971.25	$1,967.88	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $967.34 / $1,451.01 / $2,414.40	Facility		$967.34	$1,451.01	$2,414.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,193.10 / $2,672.21 / $3,989.08	Professional		$2,193.10	$2,672.21	$3,989.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
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