Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.13 / $1,981.06 / $14,482.00	Facility		$977.13	$1,981.06	$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 $2,488.89 / $2,908.47 / $4,691.26	Facility		$2,488.89	$2,908.47	$4,691.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $968.52 / $1,256.00 / $1,893.01	Facility		$968.52	$1,256.00	$1,893.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.13 / $4,240.00 / $12,631.00	Facility		$977.13	$4,240.00	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $977.13 / $1,256.00 / $1,893.01	Facility		$977.13	$1,256.00	$1,893.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,898.65 / $2,931.81 / $3,910.79	Professional		$1,898.65	$2,931.81	$3,910.79
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 $4,240.00 / $10,264.00 / $12,705.00	Facility		$4,240.00	$10,264.00	$12,705.00