Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.45 / $1,643.15 / $14,482.00	Facility		$753.45	$1,643.15	$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 $2,125.73 / $2,484.10 / $4,006.76	Facility		$2,125.73	$2,484.10	$4,006.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $753.45 / $1,080.83 / $1,570.12	Facility		$753.45	$1,080.83	$1,570.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $803.32 / $4,103.00 / $8,384.00	Facility		$803.32	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $753.45 / $1,080.83 / $1,570.12	Facility		$753.45	$1,080.83	$1,570.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,565.20 / $2,416.91 / $2,846.98	Professional		$1,565.20	$2,416.91	$2,846.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00