Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.65 / $1,816.09 / $14,482.00	Facility		$1,128.65	$1,816.09	$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 $2,270.82 / $2,653.64 / $4,280.22	Facility		$2,270.82	$2,653.64	$4,280.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $887.87 / $1,253.95 / $1,752.70	Facility		$887.87	$1,253.95	$1,752.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,025.86 / $2,803.00 / $7,868.00	Facility		$1,025.86	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $887.87 / $1,253.95 / $1,752.70	Facility		$887.87	$1,253.95	$1,752.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,827.80 / $2,822.40 / $3,695.86	Professional		$1,827.80	$2,822.40	$3,695.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,863.72 / $11,863.72 / $11,863.72	Facility		$11,863.72	$11,863.72	$11,863.72
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