Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.39 / $3,230.15 / $14,482.00	Facility		$1,332.39	$3,230.15	$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 $4,096.49 / $4,787.07 / $7,343.49	Facility		$4,096.49	$4,787.07	$7,343.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,332.39 / $2,177.88 / $4,686.57	Facility		$1,332.39	$2,177.88	$4,686.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,495.05 / $4,311.51 / $8,384.00	Facility		$1,495.05	$4,311.51	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,332.39 / $2,177.88 / $4,686.57	Facility		$1,332.39	$2,177.88	$4,686.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,020.64 / $3,872.97 / $5,496.30	Professional		$3,020.64	$3,872.97	$5,496.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $13,113.10 / $13,113.10	Facility		$3,773.88	$13,113.10	$13,113.10
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