Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.07 / $1,586.43 / $14,482.00	Facility		$975.07	$1,586.43	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,502.29 / $14,586.00	Facility		$5,169.00	$8,502.29	$14,586.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,979.76 / $2,313.51 / $3,731.60	Facility		$1,979.76	$2,313.51	$3,731.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $775.59 / $1,078.57 / $1,537.34	Facility		$775.59	$1,078.57	$1,537.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.51 / $2,803.00 / $7,868.00	Facility		$891.51	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $775.59 / $1,078.57 / $1,537.34	Facility		$775.59	$1,078.57	$1,537.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,587.95 / $2,452.04 / $3,209.52	Professional		$1,587.95	$2,452.04	$3,209.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,399.34 / $8,399.34 / $8,399.34	Facility		$8,399.34	$8,399.34	$8,399.34
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