Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.88 / $1,997.22 / $19,739.84	Facility		$579.88	$1,997.22	$19,739.84
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 $1,400.34 / $1,636.41 / $2,639.47	Facility		$1,400.34	$1,636.41	$2,639.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $547.87 / $666.72 / $1,083.51	Facility		$547.87	$666.72	$1,083.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.87 / $12,741.00 / $25,953.00	Facility		$547.87	$12,741.00	$25,953.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $547.87 / $666.72 / $1,083.51	Facility		$547.87	$666.72	$1,083.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,190.34 / $1,546.62 / $2,018.77	Professional		$1,190.34	$1,546.62	$2,018.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,754.00 / $31,754.00 / $31,754.00	Facility		$31,754.00	$31,754.00	$31,754.00
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 $8,627.00 / $14,541.00 / $26,114.00	Facility		$8,627.00	$14,541.00	$26,114.00