Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.82 / $1,750.57 / $14,482.00	Facility		$790.82	$1,750.57	$14,482.00
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 $2,208.65 / $2,580.98 / $3,959.28	Facility		$2,208.65	$2,580.98	$3,959.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $790.82 / $1,142.33 / $1,741.99	Facility		$790.82	$1,142.33	$1,741.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.82 / $1,271.33 / $13,250.00	Facility		$790.82	$1,271.33	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $790.82 / $1,142.33 / $1,741.99	Facility		$790.82	$1,142.33	$1,741.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,689.35 / $2,058.41 / $3,072.80	Professional		$1,689.35	$2,058.41	$3,072.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $17,524.30	Facility		$6,348.38	$6,348.38	$17,524.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00