Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.25 / $1,755.18 / $14,482.00	Facility		$865.25	$1,755.18	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,216.00 / $11,863.00	Facility		$5,169.00	$8,216.00	$11,863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.23 / $2,574.66 / $4,152.83	Facility		$2,203.23	$2,574.66	$4,152.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $858.09 / $1,142.18 / $1,805.50	Facility		$858.09	$1,142.18	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $865.25 / $3,954.50 / $11,598.00	Facility		$865.25	$3,954.50	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $865.25 / $1,179.30 / $1,805.50	Facility		$865.25	$1,179.30	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,673.75 / $2,584.53 / $3,472.89	Professional		$1,673.75	$2,584.53	$3,472.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,993.42 / $6,993.42 / $6,993.42	Facility		$6,993.42	$6,993.42	$6,993.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00