Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.86 / $1,688.81 / $14,482.00	Facility		$836.86	$1,688.81	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,128.44 / $2,487.26 / $4,011.86	Facility		$2,128.44	$2,487.26	$4,011.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $836.86 / $1,137.91 / $3,532.41	Facility		$836.86	$1,137.91	$3,532.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $836.86 / $3,532.41 / $16,779.00	Facility		$836.86	$3,532.41	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $836.86 / $1,137.91 / $3,532.41	Facility		$836.86	$1,137.91	$3,532.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,630.85 / $2,518.28 / $3,357.86	Professional		$1,630.85	$2,518.28	$3,357.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,231.55 / $22,231.55 / $22,231.55	Facility		$22,231.55	$22,231.55	$22,231.55
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00