Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.77 / $3,666.62 / $14,482.00	Facility		$1,117.77	$3,666.62	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,638.48 / $3,083.27 / $4,729.82	Facility		$2,638.48	$3,083.27	$4,729.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $847.53 / $1,170.39 / $2,042.34	Facility		$847.53	$1,170.39	$2,042.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.37 / $1,379.83 / $7,318.00	Facility		$914.37	$1,379.83	$7,318.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $1,170.39 / $2,040.35	Facility		$840.00	$1,170.39	$2,040.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,809.00 / $2,412.60 / $4,178.77	Professional		$1,809.00	$2,412.60	$4,178.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,121.54 / $16,547.20 / $16,547.20	Facility		$1,121.54	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00