Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.13 / $2,565.94 / $14,482.00	Facility		$1,220.13	$2,565.94	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,393.00 / $11,136.00	Facility		$5,169.00	$7,393.00	$11,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,237.72 / $3,783.54 / $5,804.04	Facility		$3,237.72	$3,783.54	$5,804.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,220.13 / $1,684.59 / $2,696.49	Facility		$1,220.13	$1,684.59	$2,696.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,220.13 / $2,518.12 / $8,103.00	Facility		$1,220.13	$2,518.12	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,220.13 / $1,684.59 / $2,696.49	Facility		$1,220.13	$1,684.59	$2,696.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,497.30 / $3,042.86 / $4,542.39	Professional		$2,497.30	$3,042.86	$4,542.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,275.38 / $16,275.38 / $16,275.38	Facility		$16,275.38	$16,275.38	$16,275.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00