Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.55 / $1,645.72 / $14,482.00	Facility		$876.55	$1,645.72	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,695.00 / $15,579.70	Facility		$5,479.00	$9,695.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.69 / $2,441.98 / $3,938.82	Facility		$2,089.69	$2,441.98	$3,938.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $811.73 / $988.11 / $2,826.92	Facility		$811.73	$988.11	$2,826.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $876.55 / $2,826.92 / $8,384.00	Facility		$876.55	$2,826.92	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $811.73 / $988.11 / $2,826.92	Facility		$811.73	$988.11	$2,826.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,588.60 / $2,444.00 / $2,889.54	Professional		$1,588.60	$2,444.00	$2,889.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,673.10 / $6,673.10 / $6,673.10	Facility		$6,673.10	$6,673.10	$6,673.10
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