Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.29 / $1,652.54 / $14,482.00	Facility		$768.29	$1,652.54	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,087.90 / $2,439.87 / $3,935.42	Facility		$2,087.90	$2,439.87	$3,935.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $768.29 / $1,020.50 / $1,618.28	Facility		$768.29	$1,020.50	$1,618.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.91 / $4,103.00 / $8,783.00	Facility		$807.91	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $768.29 / $1,020.50 / $1,618.28	Facility		$768.29	$1,020.50	$1,618.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,586.00 / $2,440.00 / $3,408.77	Professional		$1,586.00	$2,440.00	$3,408.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,214.55 / $15,214.55 / $15,214.55	Facility		$15,214.55	$15,214.55	$15,214.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00