Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.92 / $1,406.74 / $14,482.00	Facility		$747.92	$1,406.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,783.32 / $2,083.94 / $3,361.33	Facility		$1,783.32	$2,083.94	$3,361.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $687.74 / $750.26 / $1,344.22	Facility		$687.74	$750.26	$1,344.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.92 / $7,590.00 / $15,743.00	Facility		$747.92	$7,590.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $687.74 / $750.26 / $1,344.22	Facility		$687.74	$750.26	$1,344.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,355.90 / $2,082.26 / $2,466.28	Professional		$1,355.90	$2,082.26	$2,466.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,298.90 / $16,298.90 / $16,298.90	Facility		$16,298.90	$16,298.90	$16,298.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00