Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.43 / $3,945.68 / $14,482.00	Facility		$995.43	$3,945.68	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,755.63 / $3,220.17 / $5,194.01	Facility		$2,755.63	$3,220.17	$5,194.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $995.43 / $1,465.30 / $2,142.60	Facility		$995.43	$1,465.30	$2,142.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,082.35 / $6,180.00 / $19,754.00	Facility		$1,082.35	$6,180.00	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $995.43 / $1,465.30 / $2,142.60	Facility		$995.43	$1,465.30	$2,142.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,274.35 / $3,499.00 / $4,779.80	Professional		$2,274.35	$3,499.00	$4,779.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,559.60 / $14,559.60 / $14,559.60	Facility		$14,559.60	$14,559.60	$14,559.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00