Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.18 / $3,119.00 / $22,858.20	Facility		$817.18	$3,119.00	$22,858.20
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 $2,312.27 / $2,702.08 / $4,358.35	Facility		$2,312.27	$2,702.08	$4,358.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $817.18 / $1,035.52 / $1,739.35	Facility		$817.18	$1,035.52	$1,739.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $889.90 / $7,590.00 / $15,743.00	Facility		$889.90	$7,590.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $817.18 / $1,035.52 / $1,739.35	Facility		$817.18	$1,035.52	$1,739.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,760.20 / $2,708.00 / $3,364.10	Professional		$1,760.20	$2,708.00	$3,364.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,890.15 / $25,890.15 / $25,890.15	Facility		$25,890.15	$25,890.15	$25,890.15
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,454.02 / $2,454.02 / $2,454.02	Facility	AS	$2,454.02	$2,454.02	$2,454.02
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00