Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.02 / $3,365.95 / $14,482.00	Facility		$865.02	$3,365.95	$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 $2,433.02 / $2,843.18 / $4,585.95	Facility		$2,433.02	$2,843.18	$4,585.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $865.02 / $1,276.55 / $4,588.16	Facility		$865.02	$1,276.55	$4,588.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $923.33 / $4,635.00 / $15,126.00	Facility		$923.33	$4,635.00	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $865.02 / $1,515.44 / $4,588.16	Facility		$865.02	$1,515.44	$4,588.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,801.80 / $2,782.26 / $3,277.34	Professional		$1,801.80	$2,782.26	$3,277.34
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 $5,266.00 / $11,799.00 / $16,373.00	Facility		$5,266.00	$11,799.00	$16,373.00