Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.67 / $1,721.97 / $14,482.00	Facility		$505.67	$1,721.97	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,832.00 / $15,287.53	Facility		$5,479.00	$8,832.00	$15,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $1,405.80 / $2,156.53	Facility		$1,203.00	$1,405.80	$2,156.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $580.35 / $908.98	Facility		$457.09	$580.35	$908.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.05 / $945.16 / $12,622.22	Facility		$475.05	$945.16	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.36 / $591.63 / $923.25	Facility		$472.36	$591.63	$923.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $906.75 / $1,400.16 / $1,649.31	Professional		$906.75	$1,400.16	$1,649.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00