Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.56 / $3,726.89 / $14,482.00	Facility		$966.56	$3,726.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,844.00 / $22,609.00	Facility		$10,878.00	$14,844.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,622.26 / $3,064.32 / $4,700.74	Facility		$2,622.26	$3,064.32	$4,700.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $966.56 / $1,350.24 / $2,184.00	Facility		$966.56	$1,350.24	$2,184.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $966.56 / $1,496.42 / $13,982.00	Facility		$966.56	$1,496.42	$13,982.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $966.56 / $1,348.20 / $2,184.00	Facility		$966.56	$1,348.20	$2,184.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,921.80 / $2,563.04 / $4,224.56	Professional		$1,921.80	$2,563.04	$4,224.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,205.45 / $22,189.40 / $22,189.40	Facility		$1,205.45	$22,189.40	$22,189.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00