Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.84 / $2,077.38 / $14,482.00	Facility		$623.84	$2,077.38	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,457.11 / $1,702.75 / $2,612.06	Facility		$1,457.11	$1,702.75	$2,612.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $486.70 / $623.84 / $1,182.00	Facility		$486.70	$623.84	$1,182.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.06 / $752.43 / $4,377.80	Facility		$489.06	$752.43	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.93 / $623.84 / $1,182.00	Facility		$472.93	$623.84	$1,182.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,045.80 / $1,394.75 / $2,332.65	Professional		$1,045.80	$1,394.75	$2,332.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $7,929.30 / $7,929.30	Facility		$648.37	$7,929.30	$7,929.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $3,628.00 / $5,471.00	Facility		$2,960.00	$3,628.00	$5,471.00