Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.79 / $1,440.34 / $3,119.00	Facility		$587.79	$1,440.34	$3,119.00
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 $2,153.67 / $2,516.73 / $3,860.75	Facility		$2,153.67	$2,516.73	$3,860.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $687.71 / $1,065.77 / $2,330.04	Facility		$687.71	$1,065.77	$2,330.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.36 / $1,655.63 / $5,169.00	Facility		$696.36	$1,655.63	$5,169.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $687.71 / $1,065.77 / $2,330.04	Facility		$687.71	$1,065.77	$2,330.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,458.50 / $1,980.00 / $2,750.00	Professional		$1,458.50	$1,980.00	$2,750.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,350.72 / $1,805.22 / $3,331.88	Facility		$1,350.72	$1,805.22	$3,331.88
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