Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.57 / $1,330.96 / $14,482.00	Facility		$630.57	$1,330.96	$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 $1,658.06 / $1,937.58 / $2,972.29	Facility		$1,658.06	$1,937.58	$2,972.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.57 / $945.86 / $1,639.48	Facility		$630.57	$945.86	$1,639.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.57 / $1,330.97 / $16,976.00	Facility		$630.57	$1,330.97	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $630.57 / $945.86 / $1,639.48	Facility		$630.57	$945.86	$1,639.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,320.15 / $1,608.55 / $2,401.25	Professional		$1,320.15	$1,608.55	$2,401.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,636.80 / $4,636.80 / $4,636.80	Facility		$4,636.80	$4,636.80	$4,636.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00