Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.92 / $2,353.03 / $14,482.00	Facility		$960.92	$2,353.03	$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 $3,020.55 / $3,529.76 / $5,414.74	Facility		$3,020.55	$3,529.76	$5,414.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $979.46 / $1,548.16 / $3,346.26	Facility		$979.46	$1,548.16	$3,346.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,073.85 / $3,114.33 / $5,801.00	Facility		$1,073.85	$3,114.33	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $979.46 / $1,548.16 / $3,346.26	Facility		$979.46	$1,548.16	$3,346.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,199.33 / $2,819.90 / $4,001.85	Professional		$2,199.33	$2,819.90	$4,001.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $8,287.79 / $8,287.79	Facility		$3,773.88	$8,287.79	$8,287.79
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