Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.88 / $1,772.39 / $14,482.00	Facility		$789.88	$1,772.39	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,233.88 / $2,610.46 / $4,210.58	Facility		$2,233.88	$2,610.46	$4,210.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $789.88 / $1,149.47 / $1,962.50	Facility		$789.88	$1,149.47	$1,962.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.50 / $2,429.00 / $7,700.00	Facility		$866.50	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $789.88 / $1,149.47 / $1,962.50	Facility		$789.88	$1,149.47	$1,962.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,814.80 / $2,792.00 / $3,688.50	Professional		$1,814.80	$2,792.00	$3,688.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,563.60 / $10,563.60 / $10,563.60	Facility		$10,563.60	$10,563.60	$10,563.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00