Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.50 / $1,230.60 / $14,482.00	Facility		$732.50	$1,230.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.17 / $1,851.23 / $2,985.96	Facility		$1,584.17	$1,851.23	$2,985.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $656.33 / $882.26 / $2,737.62	Facility		$656.33	$882.26	$2,737.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.33 / $2,737.62 / $15,126.00	Facility		$656.33	$2,737.62	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $656.33 / $882.26 / $2,737.62	Facility		$656.33	$882.26	$2,737.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,166.75 / $1,795.00 / $2,210.71	Professional		$1,166.75	$1,795.00	$2,210.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00