Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.55 / $3,057.14 / $14,482.00	Facility		$1,797.55	$3,057.14	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,819.85 / $4,463.79 / $7,199.94	Facility		$3,819.85	$4,463.79	$7,199.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,494.60 / $2,100.66 / $2,921.27	Facility		$1,494.60	$2,100.66	$2,921.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,715.36 / $2,803.00 / $7,700.00	Facility		$1,715.36	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,494.60 / $2,100.66 / $2,921.27	Facility		$1,494.60	$2,100.66	$2,921.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,055.65 / $4,701.00 / $6,001.00	Professional		$3,055.65	$4,701.00	$6,001.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,737.44 / $28,737.44 / $28,737.44	Facility		$28,737.44	$28,737.44	$28,737.44
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