Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.45 / $2,048.85 / $14,482.00	Facility		$981.45	$2,048.85	$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 $2,594.32 / $3,031.67 / $4,650.66	Facility		$2,594.32	$3,031.67	$4,650.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $981.45 / $1,463.49 / $2,276.50	Facility		$981.45	$1,463.49	$2,276.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $981.45 / $2,013.65 / $14,246.00	Facility		$981.45	$2,013.65	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $981.45 / $1,463.49 / $2,276.50	Facility		$981.45	$1,463.49	$2,276.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,993.55 / $2,429.06 / $3,626.11	Professional		$1,993.55	$2,429.06	$3,626.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,281.70 / $8,281.70 / $8,281.70	Facility		$8,281.70	$8,281.70	$8,281.70
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