Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.79 / $4,172.60 / $14,482.00	Facility		$803.79	$4,172.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,791.00 / $18,603.00	Facility		$7,084.00	$11,791.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,769.04 / $11,415.90 / $17,512.28	Facility		$9,769.04	$11,415.90	$17,512.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $728.08 / $1,846.00 / $6,361.84	Facility		$728.08	$1,846.00	$6,361.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.87 / $3,369.18 / $10,133.40	Facility		$727.87	$3,369.18	$10,133.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $728.08 / $1,846.00 / $6,301.89	Facility		$728.08	$1,846.00	$6,301.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,622.80 / $3,747.35 / $11,830.68	Professional		$1,622.80	$3,747.35	$11,830.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,247.19 / $6,734.24 / $16,223.75	Facility		$1,247.19	$6,734.24	$16,223.75
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $15,903.00	Facility		$6,154.00	$12,373.00	$15,903.00