Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.89 / $1,760.27 / $14,482.00	Facility		$712.89	$1,760.27	$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 $1,270.58 / $1,484.77 / $2,394.89	Facility		$1,270.58	$1,484.77	$2,394.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $438.97 / $648.33 / $979.93	Facility		$438.97	$648.33	$979.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.92 / $4,103.00 / $8,384.00	Facility		$490.92	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $438.97 / $648.33 / $1,251.10	Facility		$438.97	$648.33	$1,251.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $853.80 / $1,127.02 / $1,682.41	Professional		$853.80	$1,127.02	$1,682.41
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