Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.34 / $1,125.67 / $14,482.00	Facility		$597.34	$1,125.67	$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 $1,431.88 / $1,673.26 / $2,698.92	Facility		$1,431.88	$1,673.26	$2,698.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $558.22 / $671.65 / $2,482.61	Facility		$558.22	$671.65	$2,482.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.86 / $2,482.61 / $11,598.00	Facility		$592.86	$2,482.61	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $558.22 / $671.65 / $2,482.61	Facility		$558.22	$671.65	$2,482.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,607.74 / $1,986.26	Professional		$1,092.00	$1,607.74	$1,986.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,777.50 / $4,777.50 / $4,777.50	Facility		$4,777.50	$4,777.50	$4,777.50
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