Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $1,109.77 / $14,482.00	Facility		$492.00	$1,109.77	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $14,839.00 / $23,460.00	Facility		$8,712.00	$14,839.00	$23,460.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.71 / $1,611.14 / $2,598.71	Facility		$1,378.71	$1,611.14	$2,598.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $631.33 / $1,060.44	Facility		$492.00	$631.33	$1,060.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $542.54 / $2,553.00 / $7,700.00	Facility		$542.54	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $631.33 / $1,060.44	Facility		$492.00	$631.33	$1,060.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,144.65 / $1,761.00 / $2,255.03	Professional		$1,144.65	$1,761.00	$2,255.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,289.92 / $7,289.92 / $7,289.92	Facility		$7,289.92	$7,289.92	$7,289.92
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