Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.51 / $1,614.65 / $14,482.00	Facility		$717.51	$1,614.65	$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 $2,040.14 / $2,384.06 / $3,657.21	Facility		$2,040.14	$2,384.06	$3,657.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $717.51 / $1,036.20 / $1,586.10	Facility		$717.51	$1,036.20	$1,586.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.62 / $1,161.59 / $7,891.00	Facility		$717.62	$1,161.59	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $717.51 / $1,034.17 / $1,586.10	Facility		$717.51	$1,034.17	$1,586.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,586.65 / $1,933.27 / $2,885.99	Professional		$1,586.65	$1,933.27	$2,885.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,628.30	Facility		$1,900.50	$1,900.50	$5,628.30
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