Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.91 / $3,957.67 / $14,482.00	Facility		$1,190.91	$3,957.67	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $23,937.00	Facility		$12,080.00	$18,175.43	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,787.16 / $3,701.16 / $12,305.00	Facility		$2,787.16	$3,701.16	$12,305.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,058.45 / $1,346.21 / $2,312.81	Facility		$1,058.45	$1,346.21	$2,312.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,058.01 / $1,533.42 / $14,246.00	Facility		$1,058.01	$1,533.42	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,038.99 / $1,346.21 / $2,312.81	Facility		$1,038.99	$1,346.21	$2,312.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,044.20 / $2,726.28 / $4,489.07	Professional		$2,044.20	$2,726.28	$4,489.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,281.96 / $32,472.55 / $32,472.55	Facility		$1,281.96	$32,472.55	$32,472.55
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,721.00 / $15,903.00	Facility		$8,627.00	$13,721.00	$15,903.00