Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.32 / $2,393.10 / $14,482.00	Facility		$1,285.32	$2,393.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,370.00 / $6,491.46	Facility		$2,740.00	$4,370.00	$6,491.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,003.43 / $3,509.75 / $5,384.04	Facility		$3,003.43	$3,509.75	$5,384.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,091.15 / $1,371.55 / $2,335.07	Facility		$1,091.15	$1,371.55	$2,335.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,117.80 / $1,601.47 / $4,821.00	Facility		$1,117.80	$1,601.47	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,091.15 / $1,371.55 / $2,335.07	Facility		$1,091.15	$1,371.55	$2,335.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,198.40 / $2,931.93 / $4,836.71	Professional		$2,198.40	$2,931.93	$4,836.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,378.15 / $11,208.88 / $11,208.88	Facility		$1,378.15	$11,208.88	$11,208.88
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