Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.33 / $2,113.76 / $14,482.00	Facility		$1,138.33	$2,113.76	$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 $2,657.40 / $3,105.39 / $4,763.74	Facility		$2,657.40	$3,105.39	$4,763.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.03 / $1,316.61 / $2,115.39	Facility		$1,005.03	$1,316.61	$2,115.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.03 / $1,448.06 / $4,821.00	Facility		$1,005.03	$1,448.06	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,005.03 / $1,316.61 / $2,115.39	Facility		$1,005.03	$1,316.61	$2,115.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,889.40 / $2,519.83 / $4,278.59	Professional		$1,889.40	$2,519.83	$4,278.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,190.89 / $8,519.28 / $8,519.28	Facility		$1,190.89	$8,519.28	$8,519.28
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