Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.11 / $1,377.45 / $14,482.00	Facility		$657.11	$1,377.45	$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 $1,722.04 / $2,012.34 / $3,086.98	Facility		$1,722.04	$2,012.34	$3,086.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $657.11 / $979.52 / $1,460.80	Facility		$657.11	$979.52	$1,460.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $657.11 / $1,344.42 / $14,246.00	Facility		$657.11	$1,344.42	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $657.11 / $970.09 / $1,460.80	Facility		$657.11	$970.09	$1,460.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,363.70 / $1,661.62 / $2,480.46	Professional		$1,363.70	$1,661.62	$2,480.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,806.00 / $4,806.00 / $4,806.00	Facility		$4,806.00	$4,806.00	$4,806.00
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