Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.17 / $2,165.42 / $14,482.00	Facility		$1,163.17	$2,165.42	$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 $2,728.59 / $3,188.57 / $4,891.35	Facility		$2,728.59	$3,188.57	$4,891.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,039.08 / $1,360.91 / $2,228.34	Facility		$1,039.08	$1,360.91	$2,228.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,039.08 / $1,514.11 / $4,821.00	Facility		$1,039.08	$1,514.11	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,039.08 / $1,360.91 / $2,228.34	Facility		$1,039.08	$1,360.91	$2,228.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,955.40 / $2,607.85 / $4,392.37	Professional		$1,955.40	$2,607.85	$4,392.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,234.00 / $10,073.20 / $10,073.20	Facility		$1,234.00	$10,073.20	$10,073.20
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