Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.17 / $3,721.92 / $14,482.00	Facility		$993.17	$3,721.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,648.39 / $3,094.86 / $4,747.59	Facility		$2,648.39	$3,094.86	$4,747.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $993.17 / $1,357.20 / $2,194.91	Facility		$993.17	$1,357.20	$2,194.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,001.20 / $1,760.12 / $14,246.00	Facility		$1,001.20	$1,760.12	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $993.17 / $1,296.09 / $2,194.91	Facility		$993.17	$1,296.09	$2,194.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,104.05 / $2,563.69 / $3,827.11	Professional		$2,104.05	$2,563.69	$3,827.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,600.18 / $13,600.18 / $13,600.18	Facility		$13,600.18	$13,600.18	$13,600.18
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00