Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.36 / $1,668.30 / $8,243.00	Facility		$638.36	$1,668.30	$8,243.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,811.25 / $2,116.59 / $3,246.90	Facility		$1,811.25	$2,116.59	$3,246.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $633.60 / $810.00 / $1,433.61	Facility		$633.60	$810.00	$1,433.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.16 / $1,094.16 / $11,100.00	Facility		$637.16	$1,094.16	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $633.60 / $810.00 / $1,433.61	Facility		$633.60	$810.00	$1,433.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,383.85 / $1,686.17 / $2,517.12	Professional		$1,383.85	$1,686.17	$2,517.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00