Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.57 / $1,675.17 / $14,482.00	Facility		$774.57	$1,675.17	$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 $2,109.52 / $2,465.14 / $3,976.19	Facility		$2,109.52	$2,465.14	$3,976.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $774.57 / $1,076.83 / $2,759.45	Facility		$774.57	$1,076.83	$2,759.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $818.97 / $2,759.45 / $8,783.00	Facility		$818.97	$2,759.45	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $774.57 / $1,076.83 / $2,759.45	Facility		$774.57	$1,076.83	$2,759.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,645.15 / $2,531.00 / $3,531.60	Professional		$1,645.15	$2,531.00	$3,531.60
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 $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00