Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.16 / $1,761.10 / $14,482.00	Facility		$716.16	$1,761.10	$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 $2,232.07 / $2,608.36 / $4,001.28	Facility		$2,232.07	$2,608.36	$4,001.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $782.71 / $1,138.52 / $2,508.30	Facility		$782.71	$1,138.52	$2,508.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $837.91 / $2,348.13 / $8,384.00	Facility		$837.91	$2,348.13	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $782.71 / $1,138.52 / $2,508.30	Facility		$782.71	$1,138.52	$2,508.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,651.99 / $2,118.13 / $3,005.93	Professional		$1,651.99	$2,118.13	$3,005.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,623.24 / $7,129.85 / $7,129.85	Facility		$4,623.24	$7,129.85	$7,129.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00