Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.15 / $2,066.67 / $14,482.00	Facility		$1,124.15	$2,066.67	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,657.40 / $3,105.39 / $4,763.74	Facility		$2,657.40	$3,105.39	$4,763.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $929.69 / $1,270.15 / $2,943.75	Facility		$929.69	$1,270.15	$2,943.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $929.69 / $1,443.76 / $7,318.00	Facility		$929.69	$1,443.76	$7,318.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $929.69 / $1,277.28 / $2,943.75	Facility		$929.69	$1,277.28	$2,943.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,818.00 / $2,424.61 / $4,211.52	Professional		$1,818.00	$2,424.61	$4,211.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,131.51 / $13,960.05 / $13,960.05	Facility		$1,131.51	$13,960.05	$13,960.05
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