Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,780.10 / $5,249.36 / $14,482.00	Facility		$2,780.10	$5,249.36	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,593.50 / $7,705.02 / $12,427.92	Facility		$6,593.50	$7,705.02	$12,427.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,294.31 / $2,986.30 / $5,360.00	Facility		$2,294.31	$2,986.30	$5,360.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,294.88 / $3,252.72 / $6,415.50	Facility		$2,294.88	$3,252.72	$6,415.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,203.59 / $2,986.30 / $5,360.00	Facility		$2,203.59	$2,986.30	$5,360.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,793.39 / $6,392.80 / $10,564.26	Professional		$4,793.39	$6,392.80	$10,564.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,780.16 / $48,780.16 / $48,780.16	Facility		$48,780.16	$48,780.16	$48,780.16
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