Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.37 / $2,623.79 / $14,482.00	Facility		$1,408.37	$2,623.79	$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 $3,304.41 / $3,861.46 / $5,923.58	Facility		$3,304.41	$3,861.46	$5,923.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,282.74 / $1,639.72 / $2,827.91	Facility		$1,282.74	$1,639.72	$2,827.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.00 / $1,786.20 / $4,821.00	Facility		$1,277.00	$1,786.20	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,251.03 / $1,607.77 / $2,765.28	Facility		$1,251.03	$1,607.77	$2,765.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,413.19 / $3,218.40 / $5,328.52	Professional		$2,413.19	$3,218.40	$5,328.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,523.32 / $12,358.48 / $12,358.48	Facility		$1,523.32	$12,358.48	$12,358.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00