Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.81 / $1,009.44 / $14,482.00	Facility		$212.81	$1,009.44	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.55 / $2,773.68 / $4,254.89	Facility		$2,373.55	$2,773.68	$4,254.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $783.12 / $1,501.17	Facility		$192.29	$783.12	$1,501.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.14 / $858.02 / $7,251.10	Facility		$192.14	$858.02	$7,251.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $783.12 / $1,501.17	Facility		$192.29	$783.12	$1,501.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $428.66 / $919.03 / $2,901.46	Professional		$428.66	$919.03	$2,901.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $329.43 / $1,565.61 / $1,565.61	Facility		$329.43	$1,565.61	$1,565.61
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00