Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.01 / $1,690.56 / $14,482.00	Facility		$778.01	$1,690.56	$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 $2,132.94 / $2,492.52 / $4,020.35	Facility		$2,132.94	$2,492.52	$4,020.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $778.01 / $910.27 / $1,995.00	Facility		$778.01	$910.27	$1,995.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.57 / $2,245.10 / $7,700.00	Facility		$782.57	$2,245.10	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $778.01 / $961.74 / $1,995.00	Facility		$778.01	$961.74	$1,995.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,684.80 / $2,592.00 / $3,616.40	Professional		$1,684.80	$2,592.00	$3,616.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,983.92 / $7,983.92 / $7,983.92	Facility		$7,983.92	$7,983.92	$7,983.92
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