Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.23 / $1,120.28 / $14,482.00	Facility		$534.23	$1,120.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,755.00 / $15,278.00 / $22,428.00	Facility		$8,755.00	$15,278.00	$22,428.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,397.64 / $1,633.25 / $2,505.44	Facility		$1,397.64	$1,633.25	$2,505.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $534.23 / $746.85 / $1,242.48	Facility		$534.23	$746.85	$1,242.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.89 / $1,086.63 / $1,789.00	Facility		$541.89	$1,086.63	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $534.23 / $746.85 / $1,242.48	Facility		$534.23	$746.85	$1,242.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,153.04 / $1,405.80 / $2,098.58	Professional		$1,153.04	$1,405.80	$2,098.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,687.02 / $2,687.02 / $2,687.02	Facility		$2,687.02	$2,687.02	$2,687.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90