Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.95 / $1,371.24 / $14,482.00	Facility		$825.95	$1,371.24	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,782.42 / $2,082.89 / $3,359.63	Facility		$1,782.42	$2,082.89	$3,359.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.33 / $987.53 / $2,016.25	Facility		$731.33	$987.53	$2,016.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.33 / $2,016.25 / $8,384.00	Facility		$731.33	$2,016.25	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.33 / $994.66 / $2,016.25	Facility		$731.33	$994.66	$2,016.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,303.90 / $2,006.00 / $2,389.55	Professional		$1,303.90	$2,006.00	$2,389.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00