Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.96 / $1,051.16 / $14,482.00	Facility		$472.96	$1,051.16	$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 $1,337.26 / $1,562.70 / $2,397.21	Facility		$1,337.26	$1,562.70	$2,397.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $472.96 / $700.77 / $1,125.57	Facility		$472.96	$700.77	$1,125.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $472.96 / $851.33 / $7,891.00	Facility		$472.96	$851.33	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.96 / $700.34 / $1,125.57	Facility		$472.96	$700.34	$1,125.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,009.45 / $1,229.98 / $1,836.11	Professional		$1,009.45	$1,229.98	$1,836.11
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