Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.37 / $2,771.82 / $14,482.00	Facility		$1,322.37	$2,771.82	$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 $3,500.85 / $4,091.02 / $6,275.73	Facility		$3,500.85	$4,091.02	$6,275.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,322.37 / $1,851.32 / $2,922.44	Facility		$1,322.37	$1,851.32	$2,922.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,322.37 / $2,552.00 / $14,246.00	Facility		$1,322.37	$2,552.00	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,322.37 / $1,847.88 / $2,922.44	Facility		$1,322.37	$1,847.88	$2,922.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,701.40 / $3,291.55 / $4,913.64	Professional		$2,701.40	$3,291.55	$4,913.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,206.51 / $11,206.51 / $11,206.51	Facility		$11,206.51	$11,206.51	$11,206.51
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