Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.36 / $1,744.24 / $14,482.00	Facility		$1,079.36	$1,744.24	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,169.90 / $2,535.69 / $4,089.99	Facility		$2,169.90	$2,535.69	$4,089.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $852.74 / $1,355.35 / $2,519.85	Facility		$852.74	$1,355.35	$2,519.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $987.46 / $8,627.00 / $16,779.00	Facility		$987.46	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $852.74 / $1,355.35 / $2,519.85	Facility		$852.74	$1,355.35	$2,519.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,760.20 / $2,718.02 / $3,534.55	Professional		$1,760.20	$2,718.02	$3,534.55
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