Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.27 / $1,388.57 / $14,482.00	Facility		$571.27	$1,388.57	$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 $1,774.31 / $2,073.42 / $3,180.67	Facility		$1,774.31	$2,073.42	$3,180.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $614.62 / $937.78 / $1,900.53	Facility		$614.62	$937.78	$1,900.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.74 / $1,851.42 / $5,639.00	Facility		$662.74	$1,851.42	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $614.62 / $937.78 / $1,900.53	Facility		$614.62	$937.78	$1,900.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,255.69 / $1,610.00 / $2,284.83	Professional		$1,255.69	$1,610.00	$2,284.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $5,564.75 / $5,564.75	Facility		$3,773.88	$5,564.75	$5,564.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00