Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.45 / $1,110.02 / $14,482.00	Facility		$578.45	$1,110.02	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,391.33 / $1,625.88 / $2,622.48	Facility		$1,391.33	$1,625.88	$2,622.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $578.45 / $770.60 / $1,714.61	Facility		$578.45	$770.60	$1,714.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $578.45 / $1,714.61 / $8,783.00	Facility		$578.45	$1,714.61	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $578.45 / $770.60 / $1,714.61	Facility		$578.45	$770.60	$1,714.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,057.55 / $1,633.02 / $1,923.60	Professional		$1,057.55	$1,633.02	$1,923.60
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00