Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.83 / $3,720.28 / $14,482.00	Facility		$2,306.83	$3,720.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,632.66 / $5,413.63 / $8,731.99	Facility		$4,632.66	$5,413.63	$8,731.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,818.81 / $2,597.38 / $3,578.03	Facility		$1,818.81	$2,597.38	$3,578.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,984.15 / $3,364.00 / $7,868.00	Facility		$1,984.15	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,818.81 / $2,597.38 / $3,578.03	Facility		$1,818.81	$2,597.38	$3,578.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,764.15 / $5,812.43 / $7,567.09	Professional		$3,764.15	$5,812.43	$7,567.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,498.87 / $35,498.87 / $35,498.87	Facility		$35,498.87	$35,498.87	$35,498.87
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