Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,681.26 / $2,879.89 / $14,482.00	Facility		$1,681.26	$2,879.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $13,096.00 / $21,224.00	Facility		$8,712.00	$13,096.00	$21,224.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,594.57 / $4,200.54 / $6,775.32	Facility		$3,594.57	$4,200.54	$6,775.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,407.95 / $1,681.26 / $2,751.89	Facility		$1,407.95	$1,681.26	$2,751.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,611.56 / $2,751.89 / $7,700.00	Facility		$1,611.56	$2,751.89	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,407.95 / $1,681.26 / $2,751.89	Facility		$1,407.95	$1,681.26	$2,751.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,869.75 / $4,415.00 / $5,565.38	Professional		$2,869.75	$4,415.00	$5,565.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,958.72 / $26,958.72 / $26,958.72	Facility		$26,958.72	$26,958.72	$26,958.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00