Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.09 / $2,475.02 / $14,482.00	Facility		$1,527.09	$2,475.02	$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 $3,075.52 / $3,593.99 / $5,796.98	Facility		$3,075.52	$3,593.99	$5,796.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,210.01 / $1,764.00 / $2,365.02	Facility		$1,210.01	$1,764.00	$2,365.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,398.52 / $2,678.00 / $7,700.00	Facility		$1,398.52	$2,678.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,210.01 / $1,764.00 / $2,365.02	Facility		$1,210.01	$1,764.00	$2,365.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,491.44 / $3,847.18 / $5,010.57	Professional		$2,491.44	$3,847.18	$5,010.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,719.22 / $30,719.22 / $30,719.22	Facility		$30,719.22	$30,719.22	$30,719.22
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