Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.93 / $1,526.09 / $14,482.00	Facility		$458.93	$1,526.09	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $14,553.00 / $22,609.00	Facility		$8,139.00	$14,553.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.43 / $1,252.05 / $1,920.68	Facility		$1,071.43	$1,252.05	$1,920.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $409.37 / $491.26 / $833.30	Facility		$409.37	$491.26	$833.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.37 / $585.25 / $10,843.00	Facility		$409.37	$585.25	$10,843.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $409.37 / $504.56 / $863.50	Facility		$409.37	$504.56	$863.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $766.20 / $1,021.86 / $1,731.09	Professional		$766.20	$1,021.86	$1,731.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $485.57 / $40,416.10 / $40,416.10	Facility		$485.57	$40,416.10	$40,416.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00