Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.71 / $3,622.28 / $14,482.00	Facility		$1,941.71	$3,622.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,126.00 / $22,370.00	Facility		$7,084.00	$12,126.00	$22,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,522.72 / $5,285.16 / $8,107.57	Facility		$4,522.72	$5,285.16	$8,107.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,766.87 / $2,275.27 / $3,834.95	Facility		$1,766.87	$2,275.27	$3,834.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,764.84 / $2,718.39 / $13,982.00	Facility		$1,764.84	$2,718.39	$13,982.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,764.84 / $2,271.80 / $3,834.95	Facility		$1,764.84	$2,271.80	$3,834.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,348.60 / $4,465.92 / $7,310.46	Professional		$3,348.60	$4,465.92	$7,310.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,104.98 / $25,503.84 / $25,503.84	Facility		$2,104.98	$25,503.84	$25,503.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00