Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.99 / $1,808.51 / $14,482.00	Facility		$962.99	$1,808.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,288.84 / $2,674.70 / $4,314.18	Facility		$2,288.84	$2,674.70	$4,314.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $895.13 / $1,086.58 / $3,906.49	Facility		$895.13	$1,086.58	$3,906.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $962.99 / $3,906.49 / $12,622.22	Facility		$962.99	$3,906.49	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $895.13 / $1,086.58 / $3,906.49	Facility		$895.13	$1,086.58	$3,906.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,749.80 / $2,692.00 / $3,182.75	Professional		$1,749.80	$2,692.00	$3,182.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,899.50 / $10,899.50 / $10,899.50	Facility		$10,899.50	$10,899.50	$10,899.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00