Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.27 / $2,261.08 / $30,545.10	Facility		$680.27	$2,261.08	$30,545.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,804.00 / $12,444.00	Facility		$5,169.00	$8,804.00	$12,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,589.58 / $1,857.54 / $2,849.52	Facility		$1,589.58	$1,857.54	$2,849.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.70 / $831.04 / $1,393.97	Facility		$616.70	$831.04	$1,393.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $619.79 / $915.50 / $9,837.00	Facility		$619.79	$915.50	$9,837.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $613.92 / $812.00 / $1,365.00	Facility		$613.92	$812.00	$1,365.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,165.20 / $1,553.99 / $2,564.31	Professional		$1,165.20	$1,553.99	$2,564.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $732.65 / $8,223.00 / $8,223.00	Facility		$732.65	$8,223.00	$8,223.00
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