Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.71 / $2,158.79 / $14,482.00	Facility		$1,335.71	$2,158.79	$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 $2,683.54 / $3,135.92 / $5,058.13	Facility		$2,683.54	$3,135.92	$5,058.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,055.41 / $1,494.14 / $2,062.84	Facility		$1,055.41	$1,494.14	$2,062.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $8,791.00 / $16,779.00	Facility		$1,218.00	$8,791.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,055.41 / $1,494.14 / $2,062.84	Facility		$1,055.41	$1,494.14	$2,062.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,177.50 / $3,362.40 / $4,372.21	Professional		$2,177.50	$3,362.40	$4,372.21
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00