Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.90 / $2,656.64 / $14,482.00	Facility		$1,638.90	$2,656.64	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,331.44 / $3,893.05 / $6,279.35	Facility		$3,331.44	$3,893.05	$6,279.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,298.80 / $1,932.67 / $2,831.91	Facility		$1,298.80	$1,932.67	$2,831.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,487.75 / $7,217.00 / $15,702.00	Facility		$1,487.75	$7,217.00	$15,702.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,298.80 / $1,932.67 / $2,831.91	Facility		$1,298.80	$1,932.67	$2,831.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,649.40 / $4,091.08 / $5,386.90	Professional		$2,649.40	$4,091.08	$5,386.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,005.92 / $25,005.92 / $25,005.92	Facility		$25,005.92	$25,005.92	$25,005.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,307.50 / $11,608.00 / $13,980.00	Facility		$5,307.50	$11,608.00	$13,980.00