Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,177.95 / $2,458.26 / $14,482.00	Facility		$1,177.95	$2,458.26	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,112.47 / $3,637.17 / $5,579.51	Facility		$3,112.47	$3,637.17	$5,579.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,177.95 / $1,649.13 / $2,623.36	Facility		$1,177.95	$1,649.13	$2,623.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,177.95 / $2,415.37 / $13,120.00	Facility		$1,177.95	$2,415.37	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,177.95 / $1,647.30 / $2,623.36	Facility		$1,177.95	$1,647.30	$2,623.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,349.75 / $2,863.08 / $4,274.01	Professional		$2,349.75	$2,863.08	$4,274.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,233.36 / $11,233.36 / $11,233.36	Facility		$11,233.36	$11,233.36	$11,233.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00