Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,369.69 / $4,397.67 / $14,482.00	Facility		$2,369.69	$4,397.67	$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 $5,520.26 / $6,450.86 / $9,895.79	Facility		$5,520.26	$6,450.86	$9,895.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,014.25 / $2,552.31 / $4,668.72	Facility		$2,014.25	$2,552.31	$4,668.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,022.98 / $2,803.00 / $5,863.56	Facility		$2,022.98	$2,803.00	$5,863.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,006.56 / $2,552.31 / $4,668.72	Facility		$2,006.56	$2,552.31	$4,668.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,053.60 / $5,406.15 / $8,921.04	Professional		$4,053.60	$5,406.15	$8,921.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,563.40 / $20,723.52 / $20,723.52	Facility		$2,563.40	$20,723.52	$20,723.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00