Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.59 / $11,963.84 / $19,444.40	Facility		$876.59	$11,963.84	$19,444.40
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 $1,900.46 / $2,220.84 / $3,582.14	Facility		$1,900.46	$2,220.84	$3,582.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $800.64 / $1,025.60 / $3,516.53	Facility		$800.64	$1,025.60	$3,516.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.64 / $5,356.00 / $16,779.00	Facility		$800.64	$5,356.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $800.64 / $1,025.60 / $3,516.53	Facility		$800.64	$1,025.60	$3,516.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,521.65 / $2,104.09 / $2,658.44	Professional		$1,521.65	$2,104.09	$2,658.44
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 $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00