Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.64 / $1,508.78 / $6,461.00	Facility		$613.64	$1,508.78	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,335.69 / $2,729.45 / $4,187.05	Facility		$2,335.69	$2,729.45	$4,187.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $680.74 / $1,108.98 / $2,437.98	Facility		$680.74	$1,108.98	$2,437.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.33 / $1,743.60 / $5,261.00	Facility		$730.33	$1,743.60	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $680.74 / $1,108.98 / $2,437.98	Facility		$680.74	$1,108.98	$2,437.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,570.98 / $2,136.29 / $2,973.30	Professional		$1,570.98	$2,136.29	$2,973.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,414.90 / $1,891.01 / $3,459.36	Facility		$1,414.90	$1,891.01	$3,459.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,523.30 / $6,438.00	Facility		$2,960.00	$4,523.30	$6,438.00