Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.87 / $1,404.74 / $14,482.00	Facility		$647.87	$1,404.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,758.99 / $2,055.51 / $3,315.47	Facility		$1,758.99	$2,055.51	$3,315.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $647.87 / $935.75 / $2,706.86	Facility		$647.87	$935.75	$2,706.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.76 / $2,429.00 / $7,700.00	Facility		$686.76	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $647.87 / $935.75 / $2,706.86	Facility		$647.87	$935.75	$2,706.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,381.90 / $2,126.00 / $2,952.74	Professional		$1,381.90	$2,126.00	$2,952.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,694.22 / $5,694.22 / $5,694.22	Facility		$5,694.22	$5,694.22	$5,694.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00