Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.89 / $2,519.96 / $14,482.00	Facility		$763.89	$2,519.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,804.04 / $2,108.17 / $3,233.98	Facility		$1,804.04	$2,108.17	$3,233.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $655.47 / $879.10 / $1,885.26	Facility		$655.47	$879.10	$1,885.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.47 / $1,023.38 / $7,318.00	Facility		$655.47	$1,023.38	$7,318.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $655.47 / $879.10 / $1,852.60	Facility		$655.47	$879.10	$1,852.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,247.40 / $1,663.62 / $2,875.95	Professional		$1,247.40	$1,663.62	$2,875.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $778.43 / $16,547.20 / $16,547.20	Facility		$778.43	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00