Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.48 / $3,625.04 / $14,482.00	Facility		$1,956.48	$3,625.04	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,566.88 / $5,336.76 / $8,186.72	Facility		$4,566.88	$5,336.76	$8,186.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,738.91 / $2,292.64 / $3,913.67	Facility		$1,738.91	$2,292.64	$3,913.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,727.67 / $2,477.32 / $5,337.31	Facility		$1,727.67	$2,477.32	$5,337.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,738.91 / $2,289.08 / $3,770.35	Facility		$1,738.91	$2,289.08	$3,770.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,251.40 / $4,336.28 / $7,352.78	Professional		$3,251.40	$4,336.28	$7,352.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,053.92 / $16,782.16 / $16,782.16	Facility		$2,053.92	$16,782.16	$16,782.16
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