Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.20 / $2,354.59 / $14,482.00	Facility		$963.20	$2,354.59	$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 $1,701.31 / $1,988.12 / $3,206.77	Facility		$1,701.31	$1,988.12	$3,206.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $612.91 / $873.22 / $1,308.25	Facility		$612.91	$873.22	$1,308.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.91 / $4,103.00 / $8,384.00	Facility		$658.91	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $612.91 / $873.22 / $1,365.00	Facility		$612.91	$873.22	$1,365.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,140.59 / $1,505.59 / $2,137.10	Professional		$1,140.59	$1,505.59	$2,137.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00