Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.48 / $2,464.48 / $14,482.00	Facility		$1,318.48	$2,464.48	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,080.03 / $3,599.26 / $5,521.35	Facility		$3,080.03	$3,599.26	$5,521.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,204.85 / $1,508.36 / $2,584.00	Facility		$1,204.85	$1,508.36	$2,584.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,198.50 / $1,686.24 / $5,887.00	Facility		$1,198.50	$1,686.24	$5,887.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,204.85 / $1,509.24 / $2,584.00	Facility		$1,204.85	$1,509.24	$2,584.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,272.80 / $3,031.16 / $4,978.79	Professional		$2,272.80	$3,031.16	$4,978.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,432.07 / $11,571.52 / $11,571.52	Facility		$1,432.07	$11,571.52	$11,571.52
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