Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.51 / $1,287.56 / $14,482.00	Facility		$613.51	$1,287.56	$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 $1,623.82 / $1,897.56 / $2,910.91	Facility		$1,623.82	$1,897.56	$2,910.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $613.51 / $920.27 / $1,486.42	Facility		$613.51	$920.27	$1,486.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.51 / $1,259.41 / $14,246.00	Facility		$613.51	$1,259.41	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $613.51 / $920.27 / $1,486.42	Facility		$613.51	$920.27	$1,486.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,271.40 / $1,549.15 / $2,312.58	Professional		$1,271.40	$1,549.15	$2,312.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,755.90 / $3,755.90 / $3,755.90	Facility		$3,755.90	$3,755.90	$3,755.90
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