Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,168.67 / $5,875.99 / $14,482.00	Facility		$3,168.67	$5,875.99	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,338.72 / $8,575.87 / $13,155.61	Facility		$7,338.72	$8,575.87	$13,155.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,439.60 / $3,342.78 / $5,706.19	Facility		$2,439.60	$3,342.78	$5,706.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,568.00 / $3,619.20 / $6,528.88	Facility		$2,568.00	$3,619.20	$6,528.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,439.60 / $3,342.78 / $5,706.19	Facility		$2,439.60	$3,342.78	$5,706.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,413.80 / $7,220.20 / $11,876.52	Professional		$5,413.80	$7,220.20	$11,876.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,419.36 / $48,271.44 / $48,271.44	Facility		$3,419.36	$48,271.44	$48,271.44
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