Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.68 / $1,632.44 / $14,482.00	Facility		$1,013.68	$1,632.44	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $23,143.00	Facility		$6,538.00	$10,800.00	$23,143.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,029.32 / $2,371.42 / $3,825.02	Facility		$2,029.32	$2,371.42	$3,825.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $798.08 / $1,230.96 / $1,559.89	Facility		$798.08	$1,230.96	$1,559.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $879.40 / $10,595.00 / $19,754.00	Facility		$879.40	$10,595.00	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $798.08 / $1,230.96 / $1,559.89	Facility		$798.08	$1,230.96	$1,559.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.30 / $2,390.81 / $3,294.69	Professional		$1,548.30	$2,390.81	$3,294.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,399.20 / $7,399.20 / $7,399.20	Facility		$7,399.20	$7,399.20	$7,399.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00