Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.45 / $2,328.96 / $14,482.00	Facility		$1,444.45	$2,328.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,904.31 / $3,393.92 / $5,474.27	Facility		$2,904.31	$3,393.92	$5,474.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,138.60 / $1,815.30 / $2,225.46	Facility		$1,138.60	$1,815.30	$2,225.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,319.60 / $3,364.00 / $7,868.00	Facility		$1,319.60	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,138.60 / $1,815.30 / $2,225.46	Facility		$1,138.60	$1,815.30	$2,225.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,849.16 / $3,053.95 / $4,277.56	Professional		$1,849.16	$3,053.95	$4,277.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,699.54 / $9,699.54 / $9,699.54	Facility		$9,699.54	$9,699.54	$9,699.54
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