Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.04 / $1,276.63 / $14,482.00	Facility		$529.04	$1,276.63	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,787.00 / $10,517.23	Facility		$1,183.00	$6,787.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,617.51 / $1,890.19 / $2,899.60	Facility		$1,617.51	$1,890.19	$2,899.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $567.39 / $824.31 / $1,836.36	Facility		$567.39	$824.31	$1,836.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.66 / $1,703.67 / $6,312.00	Facility		$614.66	$1,703.67	$6,312.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $567.39 / $824.31 / $1,836.36	Facility		$567.39	$824.31	$1,836.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,207.63 / $1,548.39 / $2,197.39	Professional		$1,207.63	$1,548.39	$2,197.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,623.24 / $6,817.20 / $6,817.20	Facility		$4,623.24	$6,817.20	$6,817.20
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