Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,024.73 / $3,293.75 / $14,482.00	Facility		$2,024.73	$3,293.75	$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 $4,067.66 / $4,753.38 / $7,667.03	Facility		$4,067.66	$4,753.38	$7,667.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,610.28 / $2,546.34 / $3,667.19	Facility		$1,610.28	$2,546.34	$3,667.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,756.67 / $3,364.00 / $7,868.00	Facility		$1,756.67	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,610.28 / $2,546.34 / $3,667.19	Facility		$1,610.28	$2,546.34	$3,667.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,327.35 / $5,137.93 / $6,635.88	Professional		$3,327.35	$5,137.93	$6,635.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,083.84 / $31,083.84 / $31,083.84	Facility		$31,083.84	$31,083.84	$31,083.84
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