Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.55 / $1,302.57 / $14,482.00	Facility		$680.55	$1,302.57	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.14 / $1,915.46 / $3,089.57	Facility		$1,639.14	$1,915.46	$3,089.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $636.80 / $869.16 / $1,273.59	Facility		$636.80	$869.16	$1,273.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $680.55 / $4,240.00 / $11,598.00	Facility		$680.55	$4,240.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $680.55 / $869.16 / $1,273.59	Facility		$680.55	$869.16	$1,273.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,240.84 / $1,916.06 / $2,257.01	Professional		$1,240.84	$1,916.06	$2,257.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
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