Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.21 / $1,783.28 / $14,482.00	Facility		$1,107.21	$1,783.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,241.98 / $2,619.94 / $4,225.87	Facility		$2,241.98	$2,619.94	$4,225.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $871.83 / $1,385.36 / $2,866.50	Facility		$871.83	$1,385.36	$2,866.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,001.12 / $8,627.00 / $16,779.00	Facility		$1,001.12	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $871.83 / $1,385.36 / $2,866.50	Facility		$871.83	$1,385.36	$2,866.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,782.30 / $2,752.15 / $3,638.14	Professional		$1,782.30	$2,752.15	$3,638.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,856.55 / $13,856.55 / $13,856.55	Facility		$13,856.55	$13,856.55	$13,856.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00