Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.27 / $1,477.98 / $6,461.00	Facility		$603.27	$1,477.98	$6,461.00
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 $2,367.23 / $2,766.31 / $4,243.59	Facility		$2,367.23	$2,766.31	$4,243.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $705.83 / $1,090.53 / $2,463.78	Facility		$705.83	$1,090.53	$2,463.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.08 / $1,565.20 / $4,821.00	Facility		$716.08	$1,565.20	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $705.83 / $1,090.53 / $2,463.78	Facility		$705.83	$1,090.53	$2,463.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,587.60 / $2,158.16 / $2,985.06	Professional		$1,587.60	$2,158.16	$2,985.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,386.02 / $1,852.40 / $3,399.76	Facility		$1,386.02	$1,852.40	$3,399.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00