Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.52 / $2,544.71 / $16,396.65	Facility		$702.52	$2,544.71	$16,396.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,793.23 / $2,095.53 / $3,380.02	Facility		$1,793.23	$2,095.53	$3,380.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $702.45 / $1,017.16 / $3,468.91	Facility		$702.45	$1,017.16	$3,468.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.52 / $3,468.91 / $15,743.00	Facility		$702.52	$3,468.91	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $702.45 / $1,017.16 / $3,468.91	Facility		$702.45	$1,017.16	$3,468.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,360.45 / $2,100.73 / $3,021.45	Professional		$1,360.45	$2,100.73	$3,021.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,110.45 / $27,110.45 / $27,110.45	Facility		$27,110.45	$27,110.45	$27,110.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00