Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.86 / $6,461.00 / $14,482.00	Facility		$2,290.86	$6,461.00	$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 $5,340.04 / $6,240.26 / $9,572.70	Facility		$5,340.04	$6,240.26	$9,572.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,976.74 / $2,573.48 / $4,333.00	Facility		$1,976.74	$2,573.48	$4,333.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,947.95 / $2,803.00 / $6,178.71	Facility		$1,947.95	$2,803.00	$6,178.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,976.74 / $2,576.19 / $4,333.00	Facility		$1,976.74	$2,576.19	$4,333.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,792.00 / $5,057.26 / $8,599.94	Professional		$3,792.00	$5,057.26	$8,599.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,393.94 / $19,569.43 / $19,569.43	Facility		$2,393.94	$19,569.43	$19,569.43
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