Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.61 / $2,012.49 / $14,482.00	Facility		$1,197.61	$2,012.49	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,555.58 / $2,986.39 / $4,816.95	Facility		$2,555.58	$2,986.39	$4,816.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $983.88 / $1,343.92 / $1,923.05	Facility		$983.88	$1,343.92	$1,923.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,091.79 / $4,240.00 / $12,631.00	Facility		$1,091.79	$4,240.00	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $983.88 / $1,343.92 / $1,923.05	Facility		$983.88	$1,343.92	$1,923.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,932.45 / $2,984.00 / $3,833.36	Professional		$1,932.45	$2,984.00	$3,833.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,644.00 / $11,644.00 / $11,644.00	Facility		$11,644.00	$11,644.00	$11,644.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00