Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.56 / $1,043.28 / $14,482.00	Facility		$492.56	$1,043.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.88 / $1,577.44 / $2,419.83	Facility		$1,349.88	$1,577.44	$2,419.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $492.56 / $626.41 / $1,044.46	Facility		$492.56	$626.41	$1,044.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $492.56 / $832.50 / $1,778.00	Facility		$492.56	$832.50	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $492.56 / $593.51 / $1,044.46	Facility		$492.56	$593.51	$1,044.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.80 / $1,260.85 / $1,882.22	Professional		$1,034.80	$1,260.85	$1,882.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,708.12 / $3,708.12 / $3,708.12	Facility		$3,708.12	$3,708.12	$3,708.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $3,163.00	Facility		$1,034.00	$1,590.00	$3,163.00