Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.69 / $1,431.72 / $14,482.00	Facility		$886.69	$1,431.72	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,788.72 / $2,090.26 / $3,371.52	Facility		$1,788.72	$2,090.26	$3,371.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $699.95 / $1,110.34 / $1,368.09	Facility		$699.95	$1,110.34	$1,368.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $804.18 / $3,364.00 / $7,868.00	Facility		$804.18	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $699.95 / $1,110.34 / $1,368.09	Facility		$699.95	$1,110.34	$1,368.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,125.44 / $1,858.71 / $2,603.42	Professional		$1,125.44	$1,858.71	$2,603.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,293.45 / $9,293.45 / $9,293.45	Facility		$9,293.45	$9,293.45	$9,293.45
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