Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.24 / $2,133.08 / $14,482.00	Facility		$636.24	$2,133.08	$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 $1,502.17 / $1,755.40 / $2,692.83	Facility		$1,502.17	$1,755.40	$2,692.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.08 / $709.62 / $1,249.46	Facility		$555.08	$709.62	$1,249.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.10 / $795.66 / $9,558.29	Facility		$571.10	$795.66	$9,558.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $555.08 / $711.14 / $1,224.00	Facility		$555.08	$711.14	$1,224.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,087.20 / $1,449.96 / $2,409.59	Professional		$1,087.20	$1,449.96	$2,409.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $676.44 / $9,558.29 / $9,558.29	Facility		$676.44	$9,558.29	$9,558.29
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