Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.72 / $1,928.63 / $14,482.00	Facility		$882.72	$1,928.63	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,483.48 / $2,902.15 / $4,681.07	Facility		$2,483.48	$2,902.15	$4,681.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $882.72 / $1,292.93 / $1,842.92	Facility		$882.72	$1,292.93	$1,842.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $942.89 / $4,103.00 / $8,783.00	Facility		$942.89	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $882.72 / $1,292.93 / $1,842.92	Facility		$882.72	$1,292.93	$1,842.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,840.15 / $2,841.47 / $3,347.09	Professional		$1,840.15	$2,841.47	$3,347.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
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