Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,382.73 / $4,445.12 / $14,482.00	Facility		$2,382.73	$4,445.12	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,541.89 / $6,476.13 / $9,934.56	Facility		$5,541.89	$6,476.13	$9,934.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,151.31 / $2,770.60 / $4,715.68	Facility		$2,151.31	$2,770.60	$4,715.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,127.16 / $2,983.72 / $5,817.93	Facility		$2,127.16	$2,983.72	$5,817.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,151.31 / $2,765.85 / $4,715.68	Facility		$2,151.31	$2,765.85	$4,715.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,102.20 / $5,470.97 / $8,968.75	Professional		$4,102.20	$5,470.97	$8,968.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,589.94 / $20,877.52 / $20,877.52	Facility		$2,589.94	$20,877.52	$20,877.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00