Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.67 / $4,238.49 / $14,482.00	Facility		$1,098.67	$4,238.49	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $23,937.00	Facility		$12,080.00	$18,175.43	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,994.42 / $3,499.22 / $5,367.89	Facility		$2,994.42	$3,499.22	$5,367.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,064.44 / $1,285.44 / $2,272.51	Facility		$1,064.44	$1,285.44	$2,272.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,064.44 / $1,538.14 / $14,246.00	Facility		$1,064.44	$1,538.14	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,056.98 / $1,285.44 / $2,272.51	Facility		$1,056.98	$1,285.44	$2,272.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,129.40 / $2,839.91 / $4,818.14	Professional		$2,129.40	$2,839.91	$4,818.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,340.50 / $27,770.10 / $27,770.10	Facility		$1,340.50	$27,770.10	$27,770.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,752.00 / $17,327.00	Facility		$7,984.00	$13,752.00	$17,327.00