Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.68 / $1,550.03 / $14,482.00	Facility		$821.68	$1,550.03	$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 $1,959.03 / $2,289.29 / $3,692.54	Facility		$1,959.03	$2,289.29	$3,692.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $771.87 / $926.82 / $2,482.61	Facility		$771.87	$926.82	$2,482.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.68 / $2,482.61 / $12,622.22	Facility		$821.68	$2,482.61	$12,622.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $771.87 / $926.82 / $2,482.61	Facility		$771.87	$926.82	$2,482.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,509.30 / $2,284.44 / $2,745.30	Professional		$1,509.30	$2,284.44	$2,745.30
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 $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00