Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.18 / $1,786.05 / $14,482.00	Facility		$947.18	$1,786.05	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,256.40 / $2,636.79 / $4,253.04	Facility		$2,256.40	$2,636.79	$4,253.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $881.33 / $1,068.97 / $3,658.43	Facility		$881.33	$1,068.97	$3,658.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $947.18 / $5,356.00 / $16,779.00	Facility		$947.18	$5,356.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $881.33 / $1,068.97 / $3,658.43	Facility		$881.33	$1,068.97	$3,658.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,729.00 / $2,669.84 / $3,144.92	Professional		$1,729.00	$2,669.84	$3,144.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $11,891.00 / $15,090.00	Facility		$5,729.00	$11,891.00	$15,090.00