Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.11 / $1,759.75 / $14,482.00	Facility		$1,093.11	$1,759.75	$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 $2,196.03 / $2,566.23 / $4,139.24	Facility		$2,196.03	$2,566.23	$4,139.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $860.32 / $1,370.44 / $2,669.00	Facility		$860.32	$1,370.44	$2,669.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $994.20 / $8,627.00 / $16,779.00	Facility		$994.20	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $860.32 / $1,370.44 / $2,669.00	Facility		$860.32	$1,370.44	$2,669.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,771.90 / $2,736.09 / $3,571.26	Professional		$1,771.90	$2,736.09	$3,571.26
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