Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.71 / $1,958.13 / $14,482.00	Facility		$964.71	$1,958.13	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,460.06 / $2,874.77 / $4,636.91	Facility		$2,460.06	$2,874.77	$4,636.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $964.71 / $1,303.09 / $3,677.28	Facility		$964.71	$1,303.09	$3,677.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $964.71 / $2,429.00 / $7,700.00	Facility		$964.71	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $964.71 / $1,303.09 / $3,677.28	Facility		$964.71	$1,303.09	$3,677.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,877.85 / $2,899.69 / $3,873.96	Professional		$1,877.85	$2,899.69	$3,873.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,843.36 / $7,843.36 / $7,843.36	Facility		$7,843.36	$7,843.36	$7,843.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00