Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.35 / $2,438.52 / $14,482.00	Facility		$1,077.35	$2,438.52	$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 $1,907.67 / $2,229.26 / $3,595.72	Facility		$1,907.67	$2,229.26	$3,595.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $608.11 / $887.56 / $1,354.61	Facility		$608.11	$887.56	$1,354.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.14 / $4,103.00 / $8,384.00	Facility		$683.14	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $608.11 / $887.56 / $1,662.28	Facility		$608.11	$887.56	$1,662.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,181.40 / $1,559.45 / $2,213.55	Professional		$1,181.40	$1,559.45	$2,213.55
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