Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.07 / $1,213.81 / $14,482.00	Facility		$543.07	$1,213.81	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.21 / $1,797.52 / $2,757.45	Facility		$1,538.21	$1,797.52	$2,757.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $543.07 / $779.90 / $1,284.80	Facility		$543.07	$779.90	$1,284.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.07 / $1,146.09 / $7,891.00	Facility		$543.07	$1,146.09	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $543.07 / $779.90 / $1,284.80	Facility		$543.07	$779.90	$1,284.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,181.05 / $1,439.06 / $2,148.23	Professional		$1,181.05	$1,439.06	$2,148.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $497.27 / $497.27 / $497.27	Facility	AS	$497.27	$497.27	$497.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00