Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.57 / $1,369.13 / $14,482.00	Facility		$560.57	$1,369.13	$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 $1,704.02 / $1,991.28 / $3,054.67	Facility		$1,704.02	$1,991.28	$3,054.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $608.50 / $935.97 / $2,031.96	Facility		$608.50	$935.97	$2,031.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.39 / $1,993.92 / $7,565.00	Facility		$656.39	$1,993.92	$7,565.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $608.50 / $935.97 / $2,031.96	Facility		$608.50	$935.97	$2,031.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,304.36 / $1,672.42 / $2,373.40	Professional		$1,304.36	$1,672.42	$2,373.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,242.64 / $6,396.88 / $6,396.88	Facility		$1,242.64	$6,396.88	$6,396.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00