Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.65 / $3,319.64 / $14,482.00	Facility		$827.65	$3,319.64	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,331.19 / $2,724.19 / $4,178.97	Facility		$2,331.19	$2,724.19	$4,178.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.65 / $1,233.20 / $1,991.91	Facility		$827.65	$1,233.20	$1,991.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.84 / $1,489.77 / $5,887.00	Facility		$827.84	$1,489.77	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $827.65 / $1,233.20 / $1,991.91	Facility		$827.65	$1,233.20	$1,991.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,886.30 / $2,298.38 / $3,431.03	Professional		$1,886.30	$2,298.38	$3,431.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,841.59 / $9,841.59 / $9,841.59	Facility		$9,841.59	$9,841.59	$9,841.59
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $439.31 / $439.31 / $439.31	Facility	AS	$439.31	$439.31	$439.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00