Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.67 / $1,511.89 / $14,482.00	Facility		$747.67	$1,511.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,910.37 / $2,232.42 / $3,600.82	Facility		$1,910.37	$2,232.42	$3,600.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $747.67 / $1,010.63 / $2,999.57	Facility		$747.67	$1,010.63	$2,999.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.67 / $2,999.57 / $8,783.00	Facility		$747.67	$2,999.57	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $747.67 / $1,019.63 / $2,999.57	Facility		$747.67	$1,019.63	$2,999.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,455.35 / $2,247.28 / $2,973.91	Professional		$1,455.35	$2,247.28	$2,973.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,068.20 / $12,068.20 / $12,068.20	Facility		$12,068.20	$12,068.20	$12,068.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00