Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.15 / $1,892.27 / $14,482.00	Facility		$765.15	$1,892.27	$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 $2,397.88 / $2,802.11 / $4,298.51	Facility		$2,397.88	$2,802.11	$4,298.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $841.01 / $1,233.11 / $2,677.80	Facility		$841.01	$1,233.11	$2,677.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $895.23 / $2,523.03 / $11,598.00	Facility		$895.23	$2,523.03	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $841.01 / $1,233.11 / $2,677.80	Facility		$841.01	$1,233.11	$2,677.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,764.95 / $2,262.96 / $3,211.48	Professional		$1,764.95	$2,262.96	$3,211.48
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00