Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.30 / $1,892.00 / $14,482.00	Facility		$867.30	$1,892.00	$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 $2,391.57 / $2,794.74 / $4,507.82	Facility		$2,391.57	$2,794.74	$4,507.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $865.00 / $1,076.33 / $4,060.29	Facility		$865.00	$1,076.33	$4,060.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $865.00 / $4,060.29 / $16,779.00	Facility		$865.00	$4,060.29	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $865.00 / $1,076.33 / $4,060.29	Facility		$865.00	$1,076.33	$4,060.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,846.65 / $2,841.00 / $3,358.91	Professional		$1,846.65	$2,841.00	$3,358.91
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 / $15,903.00	Facility		$7,984.00	$12,373.00	$15,903.00