Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $1,755.38 / $9,750.00	Facility		$122.59	$1,755.38	$9,750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $16,653.39	Facility		$6,538.00	$10,196.00	$16,653.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,674.77 / $4,294.26 / $6,587.50	Facility		$3,674.77	$4,294.26	$6,587.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $194.16 / $2,088.10	Facility		$70.28	$194.16	$2,088.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $957.19 / $12,855.00	Facility		$70.28	$957.19	$12,855.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $194.16 / $2,088.10	Facility		$70.28	$194.16	$2,088.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $1,270.71 / $4,460.64	Professional		$218.30	$1,270.71	$4,460.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $185.53 / $247.96 / $2,381.90	Facility		$185.53	$247.96	$2,381.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,590.00 / $11,733.00 / $13,913.00	Facility		$7,590.00	$11,733.00	$13,913.00