Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.65 / $1,788.46 / $14,482.00	Facility		$863.65	$1,788.46	$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 $2,297.86 / $2,685.23 / $4,119.21	Facility		$2,297.86	$2,685.23	$4,119.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.87 / $1,010.47 / $1,830.94	Facility		$794.87	$1,010.47	$1,830.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.11 / $1,398.11 / $14,246.00	Facility		$815.11	$1,398.11	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $794.87 / $1,010.47 / $1,830.94	Facility		$794.87	$1,010.47	$1,830.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,730.95 / $2,109.10 / $3,148.46	Professional		$1,730.95	$2,109.10	$3,148.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,278.32 / $7,278.32 / $7,278.32	Facility		$7,278.32	$7,278.32	$7,278.32
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