Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,511.80 / $3,185.98 / $14,482.00	Facility		$1,511.80	$3,185.98	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $17,296.00	Facility		$5,169.00	$7,532.89	$17,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,011.79 / $4,688.09 / $7,191.65	Facility		$4,011.79	$4,688.09	$7,191.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,511.80 / $2,247.65 / $3,539.98	Facility		$1,511.80	$2,247.65	$3,539.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,511.80 / $3,114.64 / $14,246.00	Facility		$1,511.80	$3,114.64	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,511.80 / $2,231.10 / $3,539.98	Facility		$1,511.80	$2,231.10	$3,539.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,285.75 / $4,003.56 / $5,976.53	Professional		$3,285.75	$4,003.56	$5,976.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,063.90 / $21,063.90 / $21,063.90	Facility		$21,063.90	$21,063.90	$21,063.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00