Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.31 / $1,497.31 / $2,668.53	Facility		$1,497.31	$1,497.31	$2,668.53
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 $1,851.80 / $2,163.98 / $3,490.42	Facility		$1,851.80	$2,163.98	$3,490.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $732.02 / $1,026.44 / $1,438.93	Facility		$732.02	$1,026.44	$1,438.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.05 / $2,803.00 / $7,868.00	Facility		$851.05	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $732.02 / $1,026.44 / $1,438.93	Facility		$732.02	$1,026.44	$1,438.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,517.10 / $2,342.64 / $3,028.63	Professional		$1,517.10	$2,342.64	$3,028.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,769.98 / $9,769.98 / $9,769.98	Facility		$9,769.98	$9,769.98	$9,769.98