Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.98 / $2,784.95 / $3,119.00	Facility		$698.98	$2,784.95	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,980.66 / $2,314.56 / $3,733.30	Facility		$1,980.66	$2,314.56	$3,733.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.98 / $1,041.48 / $1,748.60	Facility		$698.98	$1,041.48	$1,748.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.98 / $1,258.16 / $13,250.00	Facility		$698.98	$1,258.16	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.98 / $990.31 / $1,736.25	Facility		$698.98	$990.31	$1,736.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,504.10 / $1,953.25 / $3,155.90	Professional		$1,504.10	$1,953.25	$3,155.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,104.02 / $9,104.02 / $25,131.10	Facility		$9,104.02	$9,104.02	$25,131.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,382.07 / $2,382.07 / $2,382.07	Facility	AS	$2,382.07	$2,382.07	$2,382.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00