Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.02 / $1,249.54 / $14,482.00	Facility		$615.02	$1,249.54	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.36 / $1,838.59 / $2,965.58	Facility		$1,573.36	$1,838.59	$2,965.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $610.89 / $816.34 / $1,256.00	Facility		$610.89	$816.34	$1,256.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.02 / $4,240.00 / $12,631.00	Facility		$615.02	$4,240.00	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $615.02 / $816.34 / $1,256.00	Facility		$615.02	$816.34	$1,256.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,196.00 / $1,846.81 / $2,449.53	Professional		$1,196.00	$1,846.81	$2,449.53
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00