Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.76 / $2,913.14 / $14,482.00	Facility		$1,569.76	$2,913.14	$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 $3,657.65 / $4,274.25 / $6,556.81	Facility		$3,657.65	$4,274.25	$6,556.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,394.12 / $1,836.62 / $3,121.29	Facility		$1,394.12	$1,836.62	$3,121.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,394.12 / $2,093.04 / $4,821.00	Facility		$1,394.12	$2,093.04	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,394.12 / $1,836.62 / $2,997.63	Facility		$1,394.12	$1,836.62	$2,997.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,613.00 / $3,484.87 / $5,890.87	Professional		$2,613.00	$3,484.87	$5,890.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,644.26 / $11,755.03 / $11,755.03	Facility		$1,644.26	$11,755.03	$11,755.03
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