Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.11 / $1,437.95 / $14,482.00	Facility		$662.11	$1,437.95	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $25,070.00	Facility		$7,084.00	$12,066.00	$25,070.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,811.25 / $2,116.59 / $3,413.99	Facility		$1,811.25	$2,116.59	$3,413.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $662.11 / $945.34 / $2,370.48	Facility		$662.11	$945.34	$2,370.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,370.48 / $16,779.00	Facility		$703.00	$2,370.48	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $662.11 / $945.34 / $2,370.48	Facility		$662.11	$945.34	$2,370.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,394.25 / $2,145.00 / $2,985.65	Professional		$1,394.25	$2,145.00	$2,985.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,783.89 / $5,783.89 / $5,783.89	Facility		$5,783.89	$5,783.89	$5,783.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00