Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.60 / $2,173.73 / $19,729.09	Facility		$544.60	$2,173.73	$19,729.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,136.00	Facility		$13,123.00	$18,187.00	$24,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,538.21 / $1,797.52 / $2,757.45	Facility		$1,538.21	$1,797.52	$2,757.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $544.60 / $811.45 / $1,305.97	Facility		$544.60	$811.45	$1,305.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.60 / $1,068.82 / $26,469.00	Facility		$544.60	$1,068.82	$26,469.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $544.60 / $811.45 / $1,305.97	Facility		$544.60	$811.45	$1,305.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,192.75 / $1,453.32 / $2,169.52	Professional		$1,192.75	$1,453.32	$2,169.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50,000.00 / $50,000.00 / $152,237.35	Facility		$50,000.00	$50,000.00	$152,237.35
United Facility/Professional Facility Modifier Low / Median / High Price $10,763.30 / $21,867.00 / $29,907.00	Facility		$10,763.30	$21,867.00	$29,907.00