Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.73 / $1,795.39 / $14,482.00	Facility		$793.73	$1,795.39	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,264.51 / $2,646.26 / $4,059.44	Facility		$2,264.51	$2,646.26	$4,059.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $793.73 / $1,126.93 / $1,795.39	Facility		$793.73	$1,126.93	$1,795.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $797.95 / $1,428.71 / $15,090.00	Facility		$797.95	$1,428.71	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $793.73 / $1,123.71 / $1,795.39	Facility		$793.73	$1,123.71	$1,795.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,822.60 / $2,220.77 / $3,315.17	Professional		$1,822.60	$2,220.77	$3,315.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00