Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.82 / $3,044.67 / $26,402.70	Facility		$778.82	$3,044.67	$26,402.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,156.38 / $2,519.90 / $4,064.51	Facility		$2,156.38	$2,519.90	$4,064.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $778.82 / $911.22 / $1,632.43	Facility		$778.82	$911.22	$1,632.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $835.20 / $12,150.00 / $26,727.00	Facility		$835.20	$12,150.00	$26,727.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $778.82 / $911.22 / $1,632.43	Facility		$778.82	$911.22	$1,632.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,083.96 / $1,989.35 / $2,981.76	Professional		$1,083.96	$1,989.35	$2,981.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $146,520.65 / $146,520.65 / $146,520.65	Facility		$146,520.65	$146,520.65	$146,520.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $13,888.08 / $13,888.08 / $13,888.08	Facility	AS	$13,888.08	$13,888.08	$13,888.08
United Facility/Professional Facility Modifier Low / Median / High Price $11,078.00 / $19,708.00 / $24,111.00	Facility		$11,078.00	$19,708.00	$24,111.00