Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.88 / $1,755.92 / $14,482.00	Facility		$787.88	$1,755.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.02 / $2,555.69 / $4,122.26	Facility		$2,187.02	$2,555.69	$4,122.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $787.88 / $1,122.33 / $1,699.55	Facility		$787.88	$1,122.33	$1,699.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.45 / $7,775.00 / $19,754.00	Facility		$858.45	$7,775.00	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $787.88 / $1,122.33 / $1,699.55	Facility		$787.88	$1,122.33	$1,699.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,764.10 / $2,714.00 / $3,728.59	Professional		$1,764.10	$2,714.00	$3,728.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,528.90 / $37,528.90 / $37,528.90	Facility		$37,528.90	$37,528.90	$37,528.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00