Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.57 / $1,755.20 / $14,482.00	Facility		$941.57	$1,755.20	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.35 / $2,584.14 / $3,964.13	Facility		$2,211.35	$2,584.14	$3,964.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $852.71 / $1,101.64 / $2,047.50	Facility		$852.71	$1,101.64	$2,047.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $852.71 / $1,304.32 / $4,821.00	Facility		$852.71	$1,304.32	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $852.71 / $1,092.67 / $2,047.50	Facility		$852.71	$1,092.67	$2,047.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,610.40 / $2,147.73 / $3,563.56	Professional		$1,610.40	$2,147.73	$3,563.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,016.10 / $8,257.84 / $8,257.84	Facility		$1,016.10	$8,257.84	$8,257.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00