Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.91 / $2,301.21 / $14,482.00	Facility		$694.91	$2,301.21	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.14 / $1,915.46 / $2,938.37	Facility		$1,639.14	$1,915.46	$2,938.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $596.60 / $764.08 / $1,337.70	Facility		$596.60	$764.08	$1,337.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $596.60 / $843.24 / $12,855.00	Facility		$596.60	$843.24	$12,855.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $596.60 / $760.00 / $1,268.63	Facility		$596.60	$760.00	$1,268.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,144.20 / $1,525.98 / $2,620.52	Professional		$1,144.20	$1,525.98	$2,620.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $716.56 / $16,547.20 / $16,547.20	Facility		$716.56	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00