Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.53 / $3,728.50 / $14,482.00	Facility		$1,121.53	$3,728.50	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,224.00 / $11,448.40	Facility		$5,169.00	$8,224.00	$11,448.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.76 / $3,069.58 / $4,708.82	Facility		$2,626.76	$3,069.58	$4,708.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $980.20 / $1,241.88 / $2,232.98	Facility		$980.20	$1,241.88	$2,232.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $997.29 / $1,395.13 / $9,727.12	Facility		$997.29	$1,395.13	$9,727.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $954.94 / $1,241.88 / $2,155.46	Facility		$954.94	$1,241.88	$2,155.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $2,534.23 / $4,229.18	Professional		$1,900.20	$2,534.23	$4,229.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,192.73 / $9,727.12 / $9,727.12	Facility		$1,192.73	$9,727.12	$9,727.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00