Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.37 / $2,915.47 / $14,482.00	Facility		$892.37	$2,915.47	$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 $2,114.92 / $2,471.46 / $3,791.29	Facility		$2,114.92	$2,471.46	$3,791.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $767.62 / $1,006.74 / $1,628.71	Facility		$767.62	$1,006.74	$1,628.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $749.54 / $1,120.00 / $7,318.00	Facility		$749.54	$1,120.00	$7,318.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $758.51 / $998.55 / $1,628.71	Facility		$758.51	$998.55	$1,628.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,435.20 / $1,914.08 / $3,336.12	Professional		$1,435.20	$1,914.08	$3,336.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $893.28 / $16,547.20 / $16,547.20	Facility		$893.28	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00