Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,945.34 / $3,149.35 / $14,482.00	Facility		$1,945.34	$3,149.35	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,930.69 / $4,593.32 / $7,408.86	Facility		$3,930.69	$4,593.32	$7,408.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,539.68 / $2,156.41 / $3,047.13	Facility		$1,539.68	$2,156.41	$3,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,047.13 / $7,868.00	Facility		$1,716.00	$3,047.13	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,539.68 / $2,156.41 / $3,047.13	Facility		$1,539.68	$2,156.41	$3,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,163.55 / $4,885.01 / $6,383.12	Professional		$3,163.55	$4,885.01	$6,383.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,784.16 / $29,784.16 / $29,784.16	Facility		$29,784.16	$29,784.16	$29,784.16
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