Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.09 / $2,531.54 / $14,482.00	Facility		$1,372.09	$2,531.54	$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 $3,174.65 / $3,709.82 / $5,690.97	Facility		$3,174.65	$3,709.82	$5,690.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,237.64 / $1,600.37 / $2,462.35	Facility		$1,237.64	$1,600.37	$2,462.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,237.64 / $1,732.17 / $4,821.00	Facility		$1,237.64	$1,732.17	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,189.76 / $1,575.18 / $2,462.35	Facility		$1,189.76	$1,575.18	$2,462.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,322.60 / $3,097.57 / $5,127.74	Professional		$2,322.60	$3,097.57	$5,127.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,463.39 / $11,855.68 / $11,855.68	Facility		$1,463.39	$11,855.68	$11,855.68
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