Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.78 / $2,241.87 / $14,482.00	Facility		$650.78	$2,241.87	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $23,264.00 / $38,530.00	Facility		$10,878.00	$23,264.00	$38,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,571.55 / $1,836.48 / $2,962.18	Facility		$1,571.55	$1,836.48	$2,962.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $614.98 / $748.37 / $1,216.17	Facility		$614.98	$748.37	$1,216.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.98 / $12,741.00 / $25,953.00	Facility		$614.98	$12,741.00	$25,953.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $614.98 / $748.37 / $1,216.17	Facility		$614.98	$748.37	$1,216.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,332.72 / $1,737.25 / $2,260.23	Professional		$1,332.72	$1,737.25	$2,260.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,670.17 / $6,670.17 / $6,670.17	Facility		$6,670.17	$6,670.17	$6,670.17
Security Health Facility/Professional Facility Modifier Low / Median / High Price $25,543.84 / $29,951.96 / $37,564.47	Facility		$25,543.84	$29,951.96	$37,564.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $14,541.00 / $26,114.00	Facility		$7,984.00	$14,541.00	$26,114.00