Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.91 / $2,931.57 / $14,482.00	Facility		$1,727.91	$2,931.57	$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 $3,661.25 / $4,278.46 / $6,901.01	Facility		$3,661.25	$4,278.46	$6,901.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,433.21 / $1,884.00 / $2,801.28	Facility		$1,433.21	$1,884.00	$2,801.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,563.50 / $2,801.28 / $7,700.00	Facility		$1,563.50	$2,801.28	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,433.21 / $1,884.00 / $2,801.28	Facility		$1,433.21	$1,884.00	$2,801.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,934.10 / $4,520.26 / $5,776.61	Professional		$2,934.10	$4,520.26	$5,776.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,606.88 / $27,606.88 / $27,606.88	Facility		$27,606.88	$27,606.88	$27,606.88
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