Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.20 / $2,249.92 / $14,482.00	Facility		$675.20	$2,249.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,597.69 / $1,867.02 / $2,864.06	Facility		$1,597.69	$1,867.02	$2,864.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $422.40 / $675.20 / $1,289.00	Facility		$422.40	$675.20	$1,289.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $505.26 / $823.75 / $9,837.00	Facility		$505.26	$823.75	$9,837.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $422.40 / $675.20 / $1,289.00	Facility		$422.40	$675.20	$1,289.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,140.59 / $1,521.18 / $2,558.75	Professional		$1,140.59	$1,521.18	$2,558.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $714.20 / $11,102.00 / $11,102.00	Facility		$714.20	$11,102.00	$11,102.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,953.00 / $12,062.00	Facility		$6,073.00	$9,953.00	$12,062.00