Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.41 / $1,618.90 / $14,482.00	Facility		$794.41	$1,618.90	$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 $2,035.63 / $2,378.79 / $3,836.91	Facility		$2,035.63	$2,378.79	$3,836.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $863.41 / $1,546.95	Facility		$682.50	$863.41	$1,546.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $744.73 / $4,240.00 / $12,631.00	Facility		$744.73	$4,240.00	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $863.41 / $1,546.95	Facility		$682.50	$863.41	$1,546.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,541.15 / $2,379.77 / $3,172.86	Professional		$1,541.15	$2,379.77	$3,172.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,298.20 / $18,298.20 / $18,298.20	Facility		$18,298.20	$18,298.20	$18,298.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,631.00	Facility		$6,241.00	$9,953.00	$12,631.00