Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.89 / $2,464.71 / $14,482.00	Facility		$1,003.89	$2,464.71	$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 $3,120.58 / $3,646.64 / $5,594.04	Facility		$3,120.58	$3,646.64	$5,594.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,116.52 / $1,644.79 / $3,482.52	Facility		$1,116.52	$1,644.79	$3,482.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.55 / $3,242.00 / $5,801.00	Facility		$1,174.55	$3,242.00	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,116.52 / $1,644.79 / $3,482.52	Facility		$1,116.52	$1,644.79	$3,482.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,295.44 / $2,943.14 / $4,176.74	Professional		$2,295.44	$2,943.14	$4,176.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $5,567.80 / $5,567.80	Facility		$3,773.88	$5,567.80	$5,567.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00