Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.48 / $3,068.25 / $14,482.00	Facility		$926.48	$3,068.25	$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 $2,175.30 / $2,542.01 / $3,899.52	Facility		$2,175.30	$2,542.01	$3,899.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $822.84 / $1,079.70 / $1,678.82	Facility		$822.84	$1,079.70	$1,678.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $802.59 / $1,177.50 / $12,855.00	Facility		$802.59	$1,177.50	$12,855.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $802.59 / $1,079.70 / $1,678.82	Facility		$802.59	$1,079.70	$1,678.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,524.60 / $2,033.31 / $3,485.20	Professional		$1,524.60	$2,033.31	$3,485.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $955.51 / $16,547.20 / $16,547.20	Facility		$955.51	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00