Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.31 / $1,457.84 / $14,482.00	Facility		$870.31	$1,457.84	$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 $1,878.84 / $2,195.57 / $3,541.37	Facility		$1,878.84	$2,195.57	$3,541.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.72 / $1,018.26 / $1,444.41	Facility		$712.72	$1,018.26	$1,444.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $777.52 / $5,266.00 / $15,126.00	Facility		$777.52	$5,266.00	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $777.52 / $1,051.50 / $1,444.41	Facility		$777.52	$1,051.50	$1,444.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,391.00 / $2,147.92 / $2,908.19	Professional		$1,391.00	$2,147.92	$2,908.19
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