Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.38 / $1,414.98 / $14,482.00	Facility		$576.38	$1,414.98	$14,482.00
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 $1,784.22 / $2,085.00 / $3,198.44	Facility		$1,784.22	$2,085.00	$3,198.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $628.88 / $915.71 / $2,041.08	Facility		$628.88	$915.71	$2,041.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $674.36 / $1,891.74 / $8,384.00	Facility		$674.36	$1,891.74	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $628.88 / $915.71 / $2,041.08	Facility		$628.88	$915.71	$2,041.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,336.82 / $1,714.03 / $2,432.46	Professional		$1,336.82	$1,714.03	$2,432.46
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 $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00