Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.98 / $1,789.04 / $14,482.00	Facility		$740.98	$1,789.04	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,278.03 / $2,662.06 / $4,083.67	Facility		$2,278.03	$2,662.06	$4,083.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $788.20 / $1,188.26 / $2,606.34	Facility		$788.20	$1,188.26	$2,606.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $835.79 / $2,521.59 / $5,801.00	Facility		$835.79	$2,521.59	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $788.20 / $1,188.26 / $2,606.34	Facility		$788.20	$1,188.26	$2,606.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,680.08 / $2,154.14 / $3,057.04	Professional		$1,680.08	$2,154.14	$3,057.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $6,269.70 / $6,269.70	Facility		$3,773.88	$6,269.70	$6,269.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00