Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.24 / $2,356.48 / $14,482.00	Facility		$976.24	$2,356.48	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,007.04 / $3,513.96 / $5,390.51	Facility		$3,007.04	$3,513.96	$5,390.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.33 / $1,585.53 / $3,338.82	Facility		$1,047.33	$1,585.53	$3,338.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,086.88 / $3,141.99 / $11,598.00	Facility		$1,086.88	$3,141.99	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,047.33 / $1,585.53 / $3,338.82	Facility		$1,047.33	$1,585.53	$3,338.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,196.83 / $2,816.70 / $3,997.31	Professional		$2,196.83	$2,816.70	$3,997.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00