Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,475.69 / $4,892.20 / $14,482.00	Facility		$1,475.69	$4,892.20	$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 $3,438.67 / $4,018.36 / $6,164.27	Facility		$3,438.67	$4,018.36	$6,164.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,212.70 / $1,610.70 / $2,962.81	Facility		$1,212.70	$1,610.70	$2,962.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,252.64 / $1,774.50 / $4,821.00	Facility		$1,252.64	$1,774.50	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,208.09 / $1,610.70 / $2,893.93	Facility		$1,208.09	$1,610.70	$2,893.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,509.80 / $3,347.24 / $5,555.87	Professional		$2,509.80	$3,347.24	$5,555.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,585.76 / $12,839.36 / $12,839.36	Facility		$1,585.76	$12,839.36	$12,839.36
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