Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.67 / $1,626.30 / $14,482.00	Facility		$850.67	$1,626.30	$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 $2,042.84 / $2,387.21 / $3,850.50	Facility		$2,042.84	$2,387.21	$3,850.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $850.67 / $1,087.06 / $2,196.84	Facility		$850.67	$1,087.06	$2,196.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $850.67 / $2,196.84 / $14,978.00	Facility		$850.67	$2,196.84	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $850.67 / $1,087.06 / $2,196.84	Facility		$850.67	$1,087.06	$2,196.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.95 / $2,391.82 / $2,817.42	Professional		$1,548.95	$2,391.82	$2,817.42
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00