Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.35 / $3,889.82 / $14,482.00	Facility		$1,851.35	$3,889.82	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,890.38 / $5,714.79 / $8,766.64	Facility		$4,890.38	$5,714.79	$8,766.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,728.81 / $2,166.08 / $3,965.00	Facility		$1,728.81	$2,166.08	$3,965.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,794.54 / $3,170.65 / $14,246.00	Facility		$1,794.54	$3,170.65	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,728.81 / $2,166.08 / $3,965.00	Facility		$1,728.81	$2,166.08	$3,965.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,803.80 / $4,634.78 / $6,918.82	Professional		$3,803.80	$4,634.78	$6,918.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,477.02 / $13,477.02 / $13,477.02	Facility		$13,477.02	$13,477.02	$13,477.02
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