Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.14 / $1,894.00 / $14,482.00	Facility		$924.14	$1,894.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,447.44 / $2,860.03 / $4,387.35	Facility		$2,447.44	$2,860.03	$4,387.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $863.85 / $1,155.00 / $2,159.63	Facility		$863.85	$1,155.00	$2,159.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $886.71 / $1,910.21 / $5,261.00	Facility		$886.71	$1,910.21	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $863.85 / $1,155.00 / $2,159.63	Facility		$863.85	$1,155.00	$2,159.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,894.75 / $2,308.67 / $3,446.40	Professional		$1,894.75	$2,308.67	$3,446.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,585.10 / $5,585.10 / $5,585.10	Facility		$5,585.10	$5,585.10	$5,585.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00