Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.80 / $3,284.39 / $14,482.00	Facility		$996.80	$3,284.39	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $8,918.76	Facility		$2,740.00	$4,931.00	$8,918.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,328.48 / $2,721.03 / $4,174.13	Facility		$2,328.48	$2,721.03	$4,174.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $874.97 / $1,132.27 / $1,984.19	Facility		$874.97	$1,132.27	$1,984.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $874.97 / $1,255.41 / $8,806.00	Facility		$874.97	$1,255.41	$8,806.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $874.97 / $1,127.17 / $1,988.35	Facility		$874.97	$1,127.17	$1,988.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $2,195.75 / $3,742.76	Professional		$1,646.40	$2,195.75	$3,742.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,037.58 / $7,929.30 / $7,929.30	Facility		$1,037.58	$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