Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.40 / $1,097.83 / $14,482.00	Facility		$582.40	$1,097.83	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.65 / $1,643.78 / $2,651.36	Facility		$1,406.65	$1,643.78	$2,651.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $536.72 / $651.97 / $1,833.68	Facility		$536.72	$651.97	$1,833.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.73 / $1,833.68 / $8,384.00	Facility		$544.73	$1,833.68	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $536.72 / $651.97 / $1,833.68	Facility		$536.72	$651.97	$1,833.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,054.95 / $1,518.66 / $1,918.87	Professional		$1,054.95	$1,518.66	$1,918.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,592.40 / $7,592.40 / $7,592.40	Facility		$7,592.40	$7,592.40	$7,592.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00