Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.72 / $2,186.89 / $14,482.00	Facility		$1,181.72	$2,186.89	$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 $2,763.74 / $3,229.64 / $4,954.35	Facility		$2,763.74	$3,229.64	$4,954.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,007.29 / $1,260.28 / $2,134.89	Facility		$1,007.29	$1,260.28	$2,134.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,031.48 / $1,412.40 / $4,821.00	Facility		$1,031.48	$1,412.40	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,007.29 / $1,260.28 / $2,134.89	Facility		$1,007.29	$1,260.28	$2,134.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,005.20 / $2,674.27 / $4,447.60	Professional		$2,005.20	$2,674.27	$4,447.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,267.94 / $10,317.04 / $10,317.04	Facility		$1,267.94	$10,317.04	$10,317.04
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