Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.96 / $3,061.64 / $14,482.00	Facility		$1,457.96	$3,061.64	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,916.00 / $21,224.00	Facility		$8,712.00	$12,916.00	$21,224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,836.97 / $4,483.80 / $6,878.27	Facility		$3,836.97	$4,483.80	$6,878.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,457.96 / $1,992.08 / $3,222.09	Facility		$1,457.96	$1,992.08	$3,222.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,457.96 / $3,003.51 / $15,090.00	Facility		$1,457.96	$3,003.51	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,457.96 / $1,932.83 / $3,222.09	Facility		$1,457.96	$1,932.83	$3,222.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,508.84 / $3,664.76 / $5,276.00	Professional		$2,508.84	$3,664.76	$5,276.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,474.40 / $19,474.40 / $19,474.40	Facility		$19,474.40	$19,474.40	$19,474.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00