Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.73 / $1,949.47 / $14,482.00	Facility		$1,165.73	$1,949.47	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,513.21 / $2,936.90 / $4,737.12	Facility		$2,513.21	$2,936.90	$4,737.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $955.50 / $1,284.39 / $2,344.69	Facility		$955.50	$1,284.39	$2,344.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $955.50 / $2,344.69 / $8,783.00	Facility		$955.50	$2,344.69	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $955.50 / $1,284.39 / $2,344.69	Facility		$955.50	$1,284.39	$2,344.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,864.20 / $2,878.61 / $3,682.54	Professional		$1,864.20	$2,878.61	$3,682.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00