Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.41 / $1,551.94 / $14,482.00	Facility		$689.41	$1,551.94	$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 $1,959.94 / $2,290.34 / $3,513.44	Facility		$1,959.94	$2,290.34	$3,513.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $689.41 / $965.17 / $1,526.80	Facility		$689.41	$965.17	$1,526.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $689.75 / $1,092.59 / $7,891.00	Facility		$689.75	$1,092.59	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $689.41 / $909.61 / $1,526.80	Facility		$689.41	$909.61	$1,526.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,522.95 / $1,855.66 / $2,770.13	Professional		$1,522.95	$1,855.66	$2,770.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $8,079.03	Facility		$1,900.50	$1,900.50	$8,079.03
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00