Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $1,025.46 / $14,482.00	Facility		$454.87	$1,025.46	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,297.60 / $1,516.36 / $2,445.84	Facility		$1,297.60	$1,516.36	$2,445.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $656.39 / $989.10	Facility		$454.87	$656.39	$989.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.96 / $5,266.00 / $15,743.00	Facility		$486.96	$5,266.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $454.87 / $656.39 / $989.10	Facility		$454.87	$656.39	$989.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,041.95 / $1,603.00 / $2,088.10	Professional		$1,041.95	$1,603.00	$2,088.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,524.30 / $17,524.30 / $17,524.30	Facility		$17,524.30	$17,524.30	$17,524.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00