Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.62 / $1,693.28 / $14,482.00	Facility		$884.62	$1,693.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $7,393.00 / $11,448.40	Facility		$1,979.00	$7,393.00	$11,448.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,114.92 / $2,471.46 / $3,986.38	Facility		$2,114.92	$2,471.46	$3,986.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $827.83 / $1,119.51 / $1,805.50	Facility		$827.83	$1,119.51	$1,805.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.90 / $2,100.00 / $6,150.00	Facility		$844.90	$2,100.00	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $884.62 / $1,179.70 / $1,805.50	Facility		$884.62	$1,179.70	$1,805.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,618.50 / $2,499.21 / $2,943.93	Professional		$1,618.50	$2,499.21	$2,943.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,797.50 / $4,797.50 / $4,797.50	Facility		$4,797.50	$4,797.50	$4,797.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00