Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.75 / $5,142.54 / $14,482.00	Facility		$1,570.75	$5,142.54	$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 $3,691.89 / $4,314.26 / $6,618.19	Facility		$3,691.89	$4,314.26	$6,618.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,279.55 / $1,570.75 / $2,757.22	Facility		$1,279.55	$1,570.75	$2,757.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,282.43 / $1,808.91 / $12,855.00	Facility		$1,282.43	$1,808.91	$12,855.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,279.55 / $1,570.75 / $2,757.22	Facility		$1,279.55	$1,570.75	$2,757.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,544.00 / $3,392.85 / $5,875.69	Professional		$2,544.00	$3,392.85	$5,875.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,584.80 / $16,547.20 / $16,547.20	Facility		$1,584.80	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00