Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.93 / $1,298.52 / $14,482.00	Facility		$774.93	$1,298.52	$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 $1,704.92 / $1,992.33 / $3,213.56	Facility		$1,704.92	$1,992.33	$3,213.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $634.83 / $800.70 / $1,240.81	Facility		$634.83	$800.70	$1,240.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $687.54 / $5,266.00 / $15,126.00	Facility		$687.54	$5,266.00	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $634.83 / $800.70 / $1,240.81	Facility		$634.83	$800.70	$1,240.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,216.80 / $1,872.00 / $2,270.23	Professional		$1,216.80	$1,872.00	$2,270.23
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00