Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.82 / $5,211.12 / $14,482.00	Facility		$1,563.82	$5,211.12	$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 $3,645.93 / $4,260.56 / $6,535.81	Facility		$3,645.93	$4,260.56	$6,535.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,394.04 / $1,763.58 / $3,140.81	Facility		$1,394.04	$1,763.58	$3,140.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,387.95 / $1,922.19 / $4,821.00	Facility		$1,387.95	$1,922.19	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,384.60 / $1,770.24 / $3,094.52	Facility		$1,384.60	$1,770.24	$3,094.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,697.00 / $3,596.90 / $5,895.00	Professional		$2,697.00	$3,596.90	$5,895.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,696.76 / $13,701.52 / $13,701.52	Facility		$1,696.76	$13,701.52	$13,701.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00