Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.17 / $1,193.10 / $14,482.00	Facility		$569.17	$1,193.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.06 / $1,745.92 / $2,678.29	Facility		$1,494.06	$1,745.92	$2,678.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $569.17 / $828.61 / $1,325.68	Facility		$569.17	$828.61	$1,325.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $569.17 / $1,124.00 / $1,789.00	Facility		$569.17	$1,124.00	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $569.17 / $828.61 / $1,325.68	Facility		$569.17	$828.61	$1,325.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.55 / $1,431.14 / $2,136.42	Professional		$1,174.55	$1,431.14	$2,136.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,166.16 / $4,166.16 / $4,166.16	Facility		$4,166.16	$4,166.16	$4,166.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90