Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.54 / $2,239.27 / $14,482.00	Facility		$1,203.54	$2,239.27	$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 $2,816.90 / $3,291.77 / $5,049.66	Facility		$2,816.90	$3,291.77	$5,049.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,067.55 / $1,393.32 / $2,234.03	Facility		$1,067.55	$1,393.32	$2,234.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,067.55 / $1,505.06 / $11,359.00	Facility		$1,067.55	$1,505.06	$11,359.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,067.55 / $1,393.32 / $2,234.03	Facility		$1,067.55	$1,393.32	$2,234.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,002.20 / $2,670.27 / $4,532.64	Professional		$2,002.20	$2,670.27	$4,532.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,261.02 / $10,320.32 / $10,320.32	Facility		$1,261.02	$10,320.32	$10,320.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $15,903.00	Facility		$6,154.00	$12,373.00	$15,903.00