Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.34 / $1,441.60 / $14,482.00	Facility		$903.34	$1,441.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,811.25 / $2,116.59 / $3,413.99	Facility		$1,811.25	$2,116.59	$3,413.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $704.78 / $1,129.36 / $2,433.50	Facility		$704.78	$1,129.36	$2,433.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $811.92 / $8,627.00 / $16,779.00	Facility		$811.92	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $704.78 / $1,129.36 / $2,433.50	Facility		$704.78	$1,129.36	$2,433.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,446.90 / $2,234.23 / $2,936.51	Professional		$1,446.90	$2,234.23	$2,936.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,856.55 / $13,856.55 / $13,856.55	Facility		$13,856.55	$13,856.55	$13,856.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00