Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.13 / $3,421.73 / $14,482.00	Facility		$1,029.13	$3,421.73	$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 $2,401.48 / $2,806.33 / $4,304.97	Facility		$2,401.48	$2,806.33	$4,304.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.93 / $1,204.08 / $2,052.88	Facility		$933.93	$1,204.08	$2,052.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.30 / $1,440.78 / $4,821.00	Facility		$933.30	$1,440.78	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $933.93 / $1,198.55 / $2,012.00	Facility		$933.93	$1,198.55	$2,012.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,766.40 / $2,355.79 / $3,874.57	Professional		$1,766.40	$2,355.79	$3,874.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,108.33 / $8,984.64 / $8,984.64	Facility		$1,108.33	$8,984.64	$8,984.64
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