Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.69 / $2,100.71 / $14,482.00	Facility		$849.69	$2,100.71	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,668.22 / $3,118.02 / $4,783.13	Facility		$2,668.22	$3,118.02	$4,783.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $859.50 / $1,300.11 / $2,884.77	Facility		$859.50	$1,300.11	$2,884.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.66 / $2,800.95 / $11,598.00	Facility		$934.66	$2,800.95	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $859.50 / $1,300.11 / $2,884.77	Facility		$859.50	$1,300.11	$2,884.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,930.97 / $2,475.82 / $3,513.55	Professional		$1,930.97	$2,475.82	$3,513.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00