Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.35 / $1,477.37 / $14,482.00	Facility		$771.35	$1,477.37	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,861.71 / $2,175.56 / $3,509.10	Facility		$1,861.71	$2,175.56	$3,509.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $722.27 / $902.48 / $1,411.71	Facility		$722.27	$902.48	$1,411.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $771.35 / $9,147.00 / $23,474.00	Facility		$771.35	$9,147.00	$23,474.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $722.27 / $902.48 / $1,411.71	Facility		$722.27	$902.48	$1,411.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,405.95 / $2,171.00 / $2,557.31	Professional		$1,405.95	$2,171.00	$2,557.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95,250.75 / $95,250.75 / $95,250.75	Facility		$95,250.75	$95,250.75	$95,250.75
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $16,424.00 / $23,474.00	Facility		$9,662.00	$16,424.00	$23,474.00