Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.38 / $3,792.58 / $14,482.00	Facility		$977.38	$3,792.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,752.02 / $3,215.95 / $5,187.22	Facility		$2,752.02	$3,215.95	$5,187.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.38 / $1,401.23 / $2,433.50	Facility		$977.38	$1,401.23	$2,433.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.35 / $5,266.00 / $15,126.00	Facility		$1,040.35	$5,266.00	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $977.38 / $1,444.75 / $2,433.50	Facility		$977.38	$1,444.75	$2,433.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,028.65 / $3,132.55 / $3,689.96	Professional		$2,028.65	$3,132.55	$3,689.96
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 $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00