Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.82 / $1,493.91 / $14,482.00	Facility		$613.82	$1,493.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,192.06 / $2,856.00 / $4,612.00	Facility		$1,192.06	$2,856.00	$4,612.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,864.42 / $2,178.71 / $3,342.21	Facility		$1,864.42	$2,178.71	$3,342.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $663.96 / $1,025.28 / $2,226.63	Facility		$663.96	$1,025.28	$2,226.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $728.07 / $2,197.83 / $7,565.00	Facility		$728.07	$2,197.83	$7,565.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $663.96 / $1,025.28 / $2,226.63	Facility		$663.96	$1,025.28	$2,226.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,381.20 / $1,842.06 / $2,614.15	Professional		$1,381.20	$1,842.06	$2,614.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,360.44 / $4,405.14 / $4,405.14	Facility		$1,360.44	$4,405.14	$4,405.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00