Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.71 / $1,678.52 / $14,482.00	Facility		$746.71	$1,678.52	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.42 / $2,476.73 / $3,799.36	Facility		$2,119.42	$2,476.73	$3,799.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $746.71 / $1,087.53 / $1,678.52	Facility		$746.71	$1,087.53	$1,678.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $746.71 / $1,425.76 / $11,100.00	Facility		$746.71	$1,425.76	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $746.71 / $1,087.53 / $1,678.52	Facility		$746.71	$1,087.53	$1,678.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.45 / $2,069.50 / $3,089.35	Professional		$1,698.45	$2,069.50	$3,089.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,995.10 / $3,995.10 / $11,028.25	Facility		$3,995.10	$3,995.10	$11,028.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,045.32 / $1,045.32 / $1,045.32	Facility	AS	$1,045.32	$1,045.32	$1,045.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00