Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.24 / $1,639.17 / $14,482.00	Facility		$755.24	$1,639.17	$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 $2,062.66 / $2,410.39 / $3,887.87	Facility		$2,062.66	$2,410.39	$3,887.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $755.24 / $1,095.92 / $4,216.07	Facility		$755.24	$1,095.92	$4,216.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.37 / $2,457.00 / $7,700.00	Facility		$801.37	$2,457.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $755.24 / $1,167.30 / $4,216.07	Facility		$755.24	$1,167.30	$4,216.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,576.25 / $2,433.96 / $3,473.73	Professional		$1,576.25	$2,433.96	$3,473.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,587.28 / $6,587.28 / $6,587.28	Facility		$6,587.28	$6,587.28	$6,587.28
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