Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.93 / $2,860.13 / $14,482.00	Facility		$864.93	$2,860.13	$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 $2,032.03 / $2,374.58 / $3,642.67	Facility		$2,032.03	$2,374.58	$3,642.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $773.65 / $1,050.94 / $1,700.00	Facility		$773.65	$1,050.94	$1,700.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.52 / $1,180.18 / $12,855.00	Facility		$758.52	$1,180.18	$12,855.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $773.65 / $1,050.94 / $1,680.25	Facility		$773.65	$1,050.94	$1,680.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,437.00 / $1,916.48 / $3,258.78	Professional		$1,437.00	$1,916.48	$3,258.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $902.44 / $16,547.20 / $16,547.20	Facility		$902.44	$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