Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.89 / $3,119.00 / $14,482.00	Facility		$1,349.89	$3,119.00	$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 $2,384.36 / $2,786.32 / $4,494.22	Facility		$2,384.36	$2,786.32	$4,494.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $867.36 / $1,245.43 / $1,769.14	Facility		$867.36	$1,245.43	$1,769.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $924.00 / $4,240.00 / $11,598.00	Facility		$924.00	$4,240.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $867.36 / $1,245.43 / $1,837.65	Facility		$867.36	$1,245.43	$1,837.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,605.00 / $2,118.60 / $3,162.65	Professional		$1,605.00	$2,118.60	$3,162.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,373.38 / $7,373.38 / $7,373.38	Facility		$7,373.38	$7,373.38	$7,373.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $652.85 / $652.85 / $652.85	Facility	AS	$652.85	$652.85	$652.85
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00