Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.06 / $1,215.32 / $14,482.00	Facility		$883.06	$1,215.32	$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 $2,135.65 / $2,495.67 / $4,025.45	Facility		$2,135.65	$2,495.67	$4,025.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $648.16 / $883.06 / $1,483.16	Facility		$648.16	$883.06	$1,483.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $648.16 / $1,205.54 / $8,384.00	Facility		$648.16	$1,205.54	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $648.16 / $883.06 / $1,512.60	Facility		$648.16	$883.06	$1,512.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,138.80 / $1,811.01 / $2,666.39	Professional		$1,138.80	$1,811.01	$2,666.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,129.97 / $4,129.97 / $4,129.97	Facility		$4,129.97	$4,129.97	$4,129.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,280.00 / $9,134.00	Facility		$4,103.00	$7,280.00	$9,134.00