Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.14 / $1,903.70 / $14,482.00	Facility		$901.14	$1,903.70	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,424.00 / $7,210.00	Facility		$2,740.00	$4,424.00	$7,210.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.58 / $2,805.27 / $4,303.35	Facility		$2,400.58	$2,805.27	$4,303.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $901.14 / $1,235.51 / $1,991.52	Facility		$901.14	$1,235.51	$1,991.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $901.14 / $1,903.70 / $14,270.00	Facility		$901.14	$1,903.70	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $901.14 / $1,235.51 / $1,991.52	Facility		$901.14	$1,235.51	$1,991.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,890.20 / $2,303.14 / $3,438.13	Professional		$1,890.20	$2,303.14	$3,438.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,657.18 / $6,657.18 / $6,657.18	Facility		$6,657.18	$6,657.18	$6,657.18
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00