Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.98 / $2,673.61 / $14,482.00	Facility		$1,455.98	$2,673.61	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,433.27 / $4,012.04 / $6,154.58	Facility		$3,433.27	$4,012.04	$6,154.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $1,455.98 / $2,734.33	Facility		$1,155.00	$1,455.98	$2,734.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,176.44 / $1,703.50 / $4,821.00	Facility		$1,176.44	$1,703.50	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $1,455.98 / $2,649.77	Facility		$1,155.00	$1,455.98	$2,649.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,351.40 / $3,135.98 / $5,441.68	Professional		$2,351.40	$3,135.98	$5,441.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,461.82 / $9,186.54 / $9,186.54	Facility		$1,461.82	$9,186.54	$9,186.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00