Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.37 / $1,617.41 / $14,482.00	Facility		$856.37	$1,617.41	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,046.44 / $2,391.42 / $3,857.29	Facility		$2,046.44	$2,391.42	$3,857.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $804.19 / $965.91 / $2,209.73	Facility		$804.19	$965.91	$2,209.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $856.37 / $2,209.73 / $11,598.00	Facility		$856.37	$2,209.73	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $790.74 / $965.91 / $2,209.73	Facility		$790.74	$965.91	$2,209.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,573.65 / $2,379.60 / $2,862.35	Professional		$1,573.65	$2,379.60	$2,862.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,563.76 / $6,563.76 / $6,563.76	Facility		$6,563.76	$6,563.76	$6,563.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,158.00 / $12,062.00	Facility		$4,017.00	$9,158.00	$12,062.00