Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.11 / $1,445.98 / $14,482.00	Facility		$889.11	$1,445.98	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,820.26 / $2,127.12 / $3,430.97	Facility		$1,820.26	$2,127.12	$3,430.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $706.93 / $956.56 / $1,381.72	Facility		$706.93	$956.56	$1,381.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $796.38 / $2,398.00 / $4,793.00	Facility		$796.38	$2,398.00	$4,793.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $706.93 / $956.56 / $1,381.72	Facility		$706.93	$956.56	$1,381.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,413.75 / $2,183.05 / $2,930.95	Professional		$1,413.75	$2,183.05	$2,930.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,245.06 / $9,245.06 / $9,245.06	Facility		$9,245.06	$9,245.06	$9,245.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00