Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.29 / $1,605.83 / $14,482.00	Facility		$984.29	$1,605.83	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.59 / $2,336.67 / $3,768.97	Facility		$1,999.59	$2,336.67	$3,768.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $785.07 / $1,228.48 / $1,680.00	Facility		$785.07	$1,228.48	$1,680.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $899.09 / $2,553.00 / $7,700.00	Facility		$899.09	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $785.07 / $1,228.48 / $1,680.00	Facility		$785.07	$1,228.48	$1,680.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,600.95 / $2,472.11 / $3,234.26	Professional		$1,600.95	$2,472.11	$3,234.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,999.04 / $14,999.04 / $14,999.04	Facility		$14,999.04	$14,999.04	$14,999.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00