Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.35 / $2,045.06 / $14,482.00	Facility		$613.35	$2,045.06	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,453.51 / $1,698.54 / $2,605.60	Facility		$1,453.51	$1,698.54	$2,605.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $529.51 / $670.09 / $1,130.59	Facility		$529.51	$670.09	$1,130.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $529.51 / $769.96 / $8,806.00	Facility		$529.51	$769.96	$8,806.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $526.32 / $670.09 / $1,149.00	Facility		$526.32	$670.09	$1,149.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,021.20 / $1,361.94 / $2,317.46	Professional		$1,021.20	$1,361.94	$2,317.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $633.12 / $7,929.30 / $7,929.30	Facility		$633.12	$7,929.30	$7,929.30
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