Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.11 / $1,822.50 / $14,482.00	Facility		$900.11	$1,822.50	$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 $2,293.35 / $2,679.96 / $4,322.68	Facility		$2,293.35	$2,679.96	$4,322.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $900.11 / $1,223.88 / $3,414.33	Facility		$900.11	$1,223.88	$3,414.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.11 / $3,414.33 / $11,598.00	Facility		$900.11	$3,414.33	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $900.11 / $1,304.76 / $3,414.33	Facility		$900.11	$1,304.76	$3,414.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,745.25 / $2,694.93 / $3,595.24	Professional		$1,745.25	$2,694.93	$3,595.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,300.58 / $7,300.58 / $7,300.58	Facility		$7,300.58	$7,300.58	$7,300.58
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