Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.28 / $1,643.76 / $14,482.00	Facility		$807.28	$1,643.76	$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 $2,061.76 / $2,409.33 / $3,886.17	Facility		$2,061.76	$2,409.33	$3,886.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $807.28 / $1,065.23 / $2,764.41	Facility		$807.28	$1,065.23	$2,764.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.28 / $2,764.41 / $12,631.00	Facility		$807.28	$2,764.41	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $803.62 / $1,065.23 / $2,764.41	Facility		$803.62	$1,065.23	$2,764.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,567.15 / $2,419.92 / $3,239.64	Professional		$1,567.15	$2,419.92	$3,239.64
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 $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00