Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.50 / $2,186.39 / $14,482.00	Facility		$1,291.50	$2,186.39	$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 $2,759.23 / $3,224.38 / $5,200.81	Facility		$2,759.23	$3,224.38	$5,200.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,068.90 / $1,511.06 / $2,625.00	Facility		$1,068.90	$1,511.06	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,186.83 / $4,103.00 / $8,783.00	Facility		$1,186.83	$4,103.00	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,166.08 / $1,578.05 / $2,625.00	Facility		$1,166.08	$1,578.05	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,099.50 / $3,234.96 / $4,134.57	Professional		$2,099.50	$3,234.96	$4,134.57
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 $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00