Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.08 / $2,682.92 / $14,482.00	Facility		$1,649.08	$2,682.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,353.07 / $3,918.32 / $6,320.12	Facility		$3,353.07	$3,918.32	$6,320.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,311.65 / $2,060.29 / $3,375.50	Facility		$1,311.65	$2,060.29	$3,375.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,503.75 / $2,862.53 / $7,700.00	Facility		$1,503.75	$2,862.53	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,311.65 / $2,060.29 / $3,375.50	Facility		$1,311.65	$2,060.29	$3,375.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,677.35 / $4,134.24 / $5,432.52	Professional		$2,677.35	$4,134.24	$5,432.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,150.60 / $33,150.60 / $33,150.60	Facility		$33,150.60	$33,150.60	$33,150.60
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