Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.30 / $2,722.19 / $14,482.00	Facility		$1,261.30	$2,722.19	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $15,055.00 / $22,609.00	Facility		$5,692.00	$15,055.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,433.27 / $4,012.04 / $6,471.29	Facility		$3,433.27	$4,012.04	$6,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,261.30 / $1,799.41 / $3,919.39	Facility		$1,261.30	$1,799.41	$3,919.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,261.30 / $3,919.39 / $8,783.00	Facility		$1,261.30	$3,919.39	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,261.30 / $1,799.41 / $3,919.39	Facility		$1,261.30	$1,799.41	$3,919.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,637.05 / $4,057.00 / $5,668.18	Professional		$2,637.05	$4,057.00	$5,668.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,308.40 / $16,308.40 / $16,308.40	Facility		$16,308.40	$16,308.40	$16,308.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00