Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.93 / $1,651.23 / $14,482.00	Facility		$877.93	$1,651.23	$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 $2,075.28 / $2,425.13 / $3,720.21	Facility		$2,075.28	$2,425.13	$3,720.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $753.60 / $939.37 / $1,730.94	Facility		$753.60	$939.37	$1,730.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $765.28 / $1,077.70 / $4,821.00	Facility		$765.28	$1,077.70	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $753.60 / $939.37 / $1,694.00	Facility		$753.60	$939.37	$1,694.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,503.60 / $2,005.30 / $3,328.24	Professional		$1,503.60	$2,005.30	$3,328.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $935.76 / $6,710.83 / $6,710.83	Facility		$935.76	$6,710.83	$6,710.83
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