Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.34 / $2,504.17 / $14,482.00	Facility		$1,190.34	$2,504.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,953.67 / $7,773.00 / $11,863.00	Facility		$4,953.67	$7,773.00	$11,863.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.51 / $3,679.29 / $5,644.12	Facility		$3,148.51	$3,679.29	$5,644.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,190.34 / $1,580.34 / $2,630.67	Facility		$1,190.34	$1,580.34	$2,630.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.34 / $2,504.17 / $5,261.00	Facility		$1,190.34	$2,504.17	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,190.34 / $1,580.34 / $2,630.67	Facility		$1,190.34	$1,580.34	$2,630.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,445.94 / $2,980.30 / $4,448.99	Professional		$2,445.94	$2,980.30	$4,448.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,108.70 / $10,108.70 / $10,108.70	Facility		$10,108.70	$10,108.70	$10,108.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00