Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.93 / $2,288.98 / $14,482.00	Facility		$820.93	$2,288.98	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $18,141.00	Facility		$6,538.00	$10,082.00	$18,141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,843.03 / $3,322.31 / $5,096.51	Facility		$2,843.03	$3,322.31	$5,096.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $820.93 / $1,322.53 / $3,584.49	Facility		$820.93	$1,322.53	$3,584.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $923.91 / $3,051.99 / $7,700.00	Facility		$923.91	$3,051.99	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $820.93 / $1,322.53 / $3,584.49	Facility		$820.93	$1,322.53	$3,584.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,828.98 / $2,862.29 / $4,214.21	Professional		$1,828.98	$2,862.29	$4,214.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,070.16 / $16,555.08 / $16,555.08	Facility		$2,070.16	$16,555.08	$16,555.08
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