Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.41 / $2,146.54 / $14,482.00	Facility		$1,325.41	$2,146.54	$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 $2,674.52 / $3,125.39 / $5,041.14	Facility		$2,674.52	$3,125.39	$5,041.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,049.42 / $1,659.59 / $2,342.38	Facility		$1,049.42	$1,659.59	$2,342.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,208.16 / $2,803.00 / $7,700.00	Facility		$1,208.16	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,049.42 / $1,659.59 / $2,342.38	Facility		$1,049.42	$1,659.59	$2,342.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,151.50 / $3,322.25 / $4,347.07	Professional		$2,151.50	$3,322.25	$4,347.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,228.96 / $20,228.96 / $20,228.96	Facility		$20,228.96	$20,228.96	$20,228.96
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