Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,907.22 / $3,107.88 / $14,482.00	Facility		$1,907.22	$3,107.88	$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 $3,836.97 / $4,483.80 / $7,232.21	Facility		$3,836.97	$4,483.80	$7,232.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,519.41 / $2,113.12 / $2,969.75	Facility		$1,519.41	$2,113.12	$2,969.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,756.44 / $2,803.00 / $7,700.00	Facility		$1,756.44	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,519.41 / $2,113.12 / $2,969.75	Facility		$1,519.41	$2,113.12	$2,969.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,131.05 / $4,834.82 / $6,241.48	Professional		$3,131.05	$4,834.82	$6,241.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,184.00 / $29,184.00 / $29,184.00	Facility		$29,184.00	$29,184.00	$29,184.00
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