Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.57 / $2,191.39 / $14,482.00	Facility		$989.57	$2,191.39	$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 $2,770.94 / $3,238.07 / $4,967.28	Facility		$2,770.94	$3,238.07	$4,967.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $989.57 / $1,394.33 / $2,248.90	Facility		$989.57	$1,394.33	$2,248.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $989.57 / $1,747.64 / $13,250.00	Facility		$989.57	$1,747.64	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $989.57 / $1,385.40 / $2,248.90	Facility		$989.57	$1,385.40	$2,248.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,102.10 / $2,561.33 / $3,823.56	Professional		$2,102.10	$2,561.33	$3,823.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $18,039.43	Facility		$6,348.38	$6,348.38	$18,039.43
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