Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.95 / $2,104.04 / $14,482.00	Facility		$1,320.95	$2,104.04	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,652.00 / $3,099.07 / $4,998.68	Facility		$2,652.00	$3,099.07	$4,998.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,028.64 / $1,656.54 / $2,312.19	Facility		$1,028.64	$1,656.54	$2,312.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,188.77 / $2,747.50 / $7,700.00	Facility		$1,188.77	$2,747.50	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,028.64 / $1,656.54 / $2,312.19	Facility		$1,028.64	$1,656.54	$2,312.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,118.35 / $3,271.06 / $4,314.81	Professional		$2,118.35	$3,271.06	$4,314.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,875.07 / $13,875.07 / $13,875.07	Facility		$13,875.07	$13,875.07	$13,875.07
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