Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.72 / $3,575.68 / $14,482.00	Facility		$1,928.72	$3,575.68	$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 $4,491.18 / $5,248.30 / $8,051.03	Facility		$4,491.18	$5,248.30	$8,051.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,747.54 / $2,256.60 / $3,836.34	Facility		$1,747.54	$2,256.60	$3,836.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,553.00 / $5,387.92	Facility		$1,716.00	$2,553.00	$5,387.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,747.54 / $2,256.60 / $3,754.00	Facility		$1,747.54	$2,256.60	$3,754.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,286.20 / $4,382.70 / $7,238.06	Professional		$3,286.20	$4,382.70	$7,238.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,065.51 / $18,877.32 / $18,877.32	Facility		$2,065.51	$18,877.32	$18,877.32
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