Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.55 / $2,111.92 / $14,482.00	Facility		$1,134.55	$2,111.92	$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 $2,646.59 / $3,092.75 / $4,744.35	Facility		$2,646.59	$3,092.75	$4,744.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,028.36 / $1,327.42 / $2,415.00	Facility		$1,028.36	$1,327.42	$2,415.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,026.60 / $1,511.91 / $4,821.00	Facility		$1,026.60	$1,511.91	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,026.60 / $1,327.42 / $2,415.00	Facility		$1,026.60	$1,327.42	$2,415.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,934.40 / $2,579.84 / $4,270.71	Professional		$1,934.40	$2,579.84	$4,270.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,213.92 / $9,853.76 / $9,853.76	Facility		$1,213.92	$9,853.76	$9,853.76
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