Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.45 / $2,568.76 / $14,482.00	Facility		$1,578.45	$2,568.76	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,219.70 / $3,762.48 / $6,068.74	Facility		$3,219.70	$3,762.48	$6,068.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,141.67 / $1,971.84 / $2,773.32	Facility		$1,141.67	$1,971.84	$2,773.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,370.00 / $6,073.00 / $12,216.00	Facility		$1,370.00	$6,073.00	$12,216.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,141.67 / $1,971.84 / $2,773.32	Facility		$1,141.67	$1,971.84	$2,773.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,560.35 / $3,953.57 / $5,216.87	Professional		$2,560.35	$3,953.57	$5,216.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,194.88 / $24,194.88 / $24,194.88	Facility		$24,194.88	$24,194.88	$24,194.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00