Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.36 / $1,722.71 / $14,482.00	Facility		$1,052.36	$1,722.71	$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 $2,130.25 / $2,489.36 / $4,015.25	Facility		$2,130.25	$2,489.36	$4,015.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $842.22 / $1,319.64 / $2,457.00	Facility		$842.22	$1,319.64	$2,457.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.24 / $8,627.00 / $16,779.00	Facility		$973.24	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $842.22 / $1,319.64 / $2,457.00	Facility		$842.22	$1,319.64	$2,457.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,734.85 / $2,678.88 / $3,463.26	Professional		$1,734.85	$2,678.88	$3,463.26
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00