Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.92 / $2,804.49 / $14,482.00	Facility		$1,517.92	$2,804.49	$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 $3,567.53 / $4,168.95 / $6,395.27	Facility		$3,567.53	$4,168.95	$6,395.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,184.49 / $1,527.53 / $2,733.47	Facility		$1,184.49	$1,527.53	$2,733.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.44 / $1,775.97 / $4,821.00	Facility		$1,246.44	$1,775.97	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,184.49 / $1,527.53 / $2,733.47	Facility		$1,184.49	$1,527.53	$2,733.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,564.40 / $3,420.05 / $5,752.20	Professional		$2,564.40	$3,420.05	$5,752.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,647.91 / $23,391.34 / $23,391.34	Facility		$1,647.91	$23,391.34	$23,391.34
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