Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.81 / $3,049.47 / $14,482.00	Facility		$1,644.81	$3,049.47	$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 $3,836.97 / $4,483.80 / $6,878.27	Facility		$3,836.97	$4,483.80	$6,878.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,485.39 / $1,903.02 / $3,210.98	Facility		$1,485.39	$1,903.02	$3,210.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,459.71 / $2,049.40 / $4,821.00	Facility		$1,459.71	$2,049.40	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,485.39 / $1,897.45 / $3,210.98	Facility		$1,485.39	$1,897.45	$3,210.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,804.40 / $3,740.13 / $6,192.22	Professional		$2,804.40	$3,740.13	$6,192.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,773.55 / $14,371.76 / $14,371.76	Facility		$1,773.55	$14,371.76	$14,371.76
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