Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.17 / $1,974.50 / $14,482.00	Facility		$738.17	$1,974.50	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,810.00 / $23,778.77	Facility		$10,878.00	$15,810.00	$23,778.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.60 / $2,443.03 / $3,747.67	Facility		$2,090.60	$2,443.03	$3,747.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $738.17 / $1,099.86 / $1,706.67	Facility		$738.17	$1,099.86	$1,706.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $738.17 / $1,328.71 / $19,562.00	Facility		$738.17	$1,328.71	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $738.17 / $1,099.86 / $1,706.67	Facility		$738.17	$1,099.86	$1,706.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,677.65 / $2,044.15 / $3,051.52	Professional		$1,677.65	$2,044.15	$3,051.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,200.50 / $37,200.50 / $102,689.75	Facility		$37,200.50	$37,200.50	$102,689.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $9,733.53 / $9,733.53 / $9,733.53	Facility	AS	$9,733.53	$9,733.53	$9,733.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,180.00 / $14,249.00 / $19,562.00	Facility		$6,180.00	$14,249.00	$19,562.00