Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.74 / $1,585.10 / $14,482.00	Facility		$727.74	$1,585.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $13,630.00	Facility		$5,060.00	$8,006.00	$13,630.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,969.85 / $2,301.92 / $3,712.92	Facility		$1,969.85	$2,301.92	$3,712.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $727.74 / $1,022.96 / $1,907.55	Facility		$727.74	$1,022.96	$1,907.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $774.94 / $1,911.00 / $7,700.00	Facility		$774.94	$1,911.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $727.74 / $1,053.70 / $1,907.55	Facility		$727.74	$1,053.70	$1,907.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,576.25 / $2,425.00 / $3,340.73	Professional		$1,576.25	$2,425.00	$3,340.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,754.88 / $14,754.88 / $14,754.88	Facility		$14,754.88	$14,754.88	$14,754.88
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