Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.03 / $1,896.55 / $14,482.00	Facility		$934.03	$1,896.55	$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 $2,378.06 / $2,778.95 / $4,482.34	Facility		$2,378.06	$2,778.95	$4,482.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $927.20 / $1,229.39 / $1,849.95	Facility		$927.20	$1,229.39	$1,849.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.03 / $4,103.00 / $8,783.00	Facility		$934.03	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $934.03 / $1,265.78 / $1,849.95	Facility		$934.03	$1,265.78	$1,849.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,808.30 / $2,792.29 / $3,756.40	Professional		$1,808.30	$2,792.29	$3,756.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00