Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.90 / $1,637.48 / $14,482.00	Facility		$806.90	$1,637.48	$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 $2,095.10 / $2,448.29 / $3,755.75	Facility		$2,095.10	$2,448.29	$3,755.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $806.90 / $1,141.97 / $1,783.25	Facility		$806.90	$1,141.97	$1,783.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $806.90 / $1,564.71 / $14,246.00	Facility		$806.90	$1,564.71	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $806.90 / $1,129.66 / $1,783.25	Facility		$806.90	$1,129.66	$1,783.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,618.50 / $1,972.08 / $2,943.93	Professional		$1,618.50	$1,972.08	$2,943.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,860.64 / $4,860.64 / $4,860.64	Facility		$4,860.64	$4,860.64	$4,860.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,708.00 / $17,327.00	Facility		$6,154.00	$12,708.00	$17,327.00