Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.54 / $1,712.68 / $14,482.00	Facility		$757.54	$1,712.68	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,146.46 / $2,508.32 / $3,847.82	Facility		$2,146.46	$2,508.32	$3,847.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $757.54 / $1,060.56 / $1,704.78	Facility		$757.54	$1,060.56	$1,704.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $761.19 / $1,198.75 / $7,891.00	Facility		$761.19	$1,198.75	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $757.54 / $1,003.20 / $1,704.78	Facility		$757.54	$1,003.20	$1,704.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,696.50 / $2,067.12 / $3,085.80	Professional		$1,696.50	$2,067.12	$3,085.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,954.40	Facility		$1,900.50	$1,900.50	$5,954.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00