Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.45 / $1,967.83 / $14,482.00	Facility		$1,067.45	$1,967.83	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,537.55 / $2,965.33 / $4,548.89	Facility		$2,537.55	$2,965.33	$4,548.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $907.33 / $1,202.24 / $1,901.11	Facility		$907.33	$1,202.24	$1,901.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.86 / $1,347.62 / $4,821.00	Facility		$900.86	$1,347.62	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $890.32 / $1,180.70 / $1,901.11	Facility		$890.32	$1,180.70	$1,901.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,727.40 / $2,303.78 / $3,997.08	Professional		$1,727.40	$2,303.78	$3,997.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,070.95 / $7,856.80 / $7,856.80	Facility		$1,070.95	$7,856.80	$7,856.80
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