Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.19 / $3,015.48 / $14,482.00	Facility		$905.19	$3,015.48	$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 $2,115.83 / $2,472.51 / $3,792.90	Facility		$2,115.83	$2,472.51	$3,792.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $820.19 / $1,024.43 / $1,859.16	Facility		$820.19	$1,024.43	$1,859.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.37 / $1,263.13 / $10,230.00	Facility		$805.37	$1,263.13	$10,230.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $799.50 / $1,024.43 / $1,879.98	Facility		$799.50	$1,024.43	$1,879.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,553.40 / $2,071.71 / $3,412.08	Professional		$1,553.40	$2,071.71	$3,412.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $973.78 / $9,558.29 / $9,558.29	Facility		$973.78	$9,558.29	$9,558.29
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