Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.80 / $2,810.23 / $14,482.00	Facility		$1,527.80	$2,810.23	$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 $3,604.48 / $4,212.12 / $6,461.50	Facility		$3,604.48	$4,212.12	$6,461.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,298.63 / $1,656.92 / $3,066.72	Facility		$1,298.63	$1,656.92	$3,066.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,292.71 / $1,889.96 / $12,855.00	Facility		$1,292.71	$1,889.96	$12,855.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,298.63 / $1,656.92 / $3,066.72	Facility		$1,298.63	$1,656.92	$3,066.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,473.80 / $3,299.22 / $5,726.30	Professional		$2,473.80	$3,299.22	$5,726.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,538.63 / $13,960.05 / $13,960.05	Facility		$1,538.63	$13,960.05	$13,960.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,733.00 / $13,980.00	Facility		$5,266.00	$11,733.00	$13,980.00