Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.14 / $1,653.46 / $14,482.00	Facility		$758.14	$1,653.46	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,143.76 / $2,505.16 / $4,040.73	Facility		$2,143.76	$2,505.16	$4,040.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.14 / $1,090.14 / $2,041.00	Facility		$758.14	$1,090.14	$2,041.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $808.36 / $4,103.00 / $8,384.00	Facility		$808.36	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $758.14 / $1,120.05 / $2,041.00	Facility		$758.14	$1,120.05	$2,041.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,574.95 / $2,431.96 / $2,864.71	Professional		$1,574.95	$2,431.96	$2,864.71
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 $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00