Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.09 / $1,406.72 / $14,482.00	Facility		$675.09	$1,406.72	$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 $1,771.60 / $2,070.26 / $3,175.83	Facility		$1,771.60	$2,070.26	$3,175.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $675.09 / $1,012.64 / $1,632.57	Facility		$675.09	$1,012.64	$1,632.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.09 / $1,406.72 / $14,246.00	Facility		$675.09	$1,406.72	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $675.09 / $1,012.64 / $1,632.57	Facility		$675.09	$1,012.64	$1,632.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,391.65 / $1,695.67 / $2,531.30	Professional		$1,391.65	$1,695.67	$2,531.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,933.68 / $4,933.68 / $4,933.68	Facility		$4,933.68	$4,933.68	$4,933.68
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