Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.74 / $3,340.13 / $14,482.00	Facility		$1,002.74	$3,340.13	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,774.00 / $12,204.00	Facility		$5,060.00	$7,774.00	$12,204.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.11 / $2,735.77 / $4,196.74	Facility		$2,341.11	$2,735.77	$4,196.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.85 / $1,137.15 / $1,949.56	Facility		$891.85	$1,137.15	$1,949.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.61 / $1,285.47 / $11,100.00	Facility		$891.61	$1,285.47	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $877.29 / $1,135.57 / $1,922.39	Facility		$877.29	$1,135.57	$1,922.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,725.60 / $2,301.38 / $3,778.23	Professional		$1,725.60	$2,301.38	$3,778.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,083.76 / $13,170.96 / $13,170.96	Facility		$1,083.76	$13,170.96	$13,170.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $10,264.00 / $12,705.00	Facility		$6,241.00	$10,264.00	$12,705.00