Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.71 / $1,123.31 / $14,482.00	Facility		$697.71	$1,123.31	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.55 / $1,644.83 / $2,653.06	Facility		$1,407.55	$1,644.83	$2,653.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.17 / $873.59 / $1,417.50	Facility		$549.17	$873.59	$1,417.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.26 / $8,627.00 / $16,779.00	Facility		$633.26	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $549.17 / $873.59 / $1,417.50	Facility		$549.17	$873.59	$1,417.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,128.40 / $1,742.42 / $2,284.90	Professional		$1,128.40	$1,742.42	$2,284.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00