Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.19 / $2,002.07 / $14,482.00	Facility		$986.19	$2,002.07	$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 $2,514.12 / $2,937.95 / $4,738.82	Facility		$2,514.12	$2,937.95	$4,738.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $985.87 / $1,345.12 / $3,625.68	Facility		$985.87	$1,345.12	$3,625.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $986.19 / $3,625.68 / $12,631.00	Facility		$986.19	$3,625.68	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $985.87 / $1,345.12 / $3,625.68	Facility		$985.87	$1,345.12	$3,625.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,907.75 / $2,945.86 / $3,961.66	Professional		$1,907.75	$2,945.86	$3,961.66
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