Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.27 / $3,388.72 / $14,482.00	Facility		$2,093.27	$3,388.72	$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 $4,221.75 / $4,933.45 / $7,957.47	Facility		$4,221.75	$4,933.45	$7,957.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,656.71 / $2,335.06 / $3,726.25	Facility		$1,656.71	$2,335.06	$3,726.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,908.12 / $3,364.00 / $7,700.00	Facility		$1,908.12	$3,364.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,656.71 / $2,335.06 / $3,726.25	Facility		$1,656.71	$2,335.06	$3,726.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,397.55 / $5,246.34 / $6,869.64	Professional		$3,397.55	$5,246.34	$6,869.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,056.32 / $32,056.32 / $32,056.32	Facility		$32,056.32	$32,056.32	$32,056.32
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