Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $1,746.52 / $14,482.00	Facility		$776.79	$1,746.52	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $15,738.00 / $23,778.77	Facility		$5,692.00	$15,738.00	$23,778.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.23 / $2,574.66 / $3,949.59	Facility		$2,203.23	$2,574.66	$3,949.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $1,126.08 / $1,746.52	Facility		$776.79	$1,126.08	$1,746.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $1,479.60 / $15,090.00	Facility		$776.79	$1,479.60	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $776.79 / $1,126.08 / $1,746.52	Facility		$776.79	$1,126.08	$1,746.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,770.60 / $2,157.41 / $3,220.59	Professional		$1,770.60	$2,157.41	$3,220.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,764.05 / $18,764.05 / $72,083.85	Facility		$18,764.05	$18,764.05	$72,083.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,909.63 / $4,909.63 / $4,909.63	Facility	AS	$4,909.63	$4,909.63	$4,909.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,356.00 / $12,373.00 / $15,090.00	Facility		$5,356.00	$12,373.00	$15,090.00