Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.73 / $1,656.18 / $14,482.00	Facility		$1,014.73	$1,656.18	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $15,579.70	Facility		$6,538.00	$10,908.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,064.46 / $2,412.48 / $3,891.26	Facility		$2,064.46	$2,412.48	$3,891.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $809.69 / $1,271.43 / $1,802.17	Facility		$809.69	$1,271.43	$1,802.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.04 / $8,791.00 / $16,779.00	Facility		$932.04	$8,791.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $809.69 / $1,271.43 / $1,802.17	Facility		$809.69	$1,271.43	$1,802.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,660.10 / $2,563.44 / $3,353.97	Professional		$1,660.10	$2,563.44	$3,353.97
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 / $15,903.00	Facility		$7,984.00	$12,373.00	$15,903.00