Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.84 / $1,493.91 / $14,482.00	Facility		$920.84	$1,493.91	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,869.82 / $2,185.04 / $3,524.39	Facility		$1,869.82	$2,185.04	$3,524.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $730.36 / $1,148.33 / $1,596.50	Facility		$730.36	$1,148.33	$1,596.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $835.67 / $2,803.00 / $7,868.00	Facility		$835.67	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $730.36 / $1,148.33 / $1,596.50	Facility		$730.36	$1,148.33	$1,596.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,487.85 / $2,297.46 / $3,023.69	Professional		$1,487.85	$2,297.46	$3,023.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,032.96 / $14,032.96 / $14,032.96	Facility		$14,032.96	$14,032.96	$14,032.96
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