Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.89 / $2,745.18 / $14,482.00	Facility		$1,484.89	$2,745.18	$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 $3,476.52 / $4,062.59 / $6,232.12	Facility		$3,476.52	$4,062.59	$6,232.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,223.75 / $1,617.00 / $3,007.44	Facility		$1,223.75	$1,617.00	$3,007.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,262.16 / $1,840.08 / $4,821.00	Facility		$1,262.16	$1,840.08	$4,821.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,223.75 / $1,617.00 / $2,891.42	Facility		$1,223.75	$1,617.00	$2,891.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,502.00 / $3,336.83 / $5,592.89	Professional		$2,502.00	$3,336.83	$5,592.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,577.78 / $22,535.38 / $22,535.38	Facility		$1,577.78	$22,535.38	$22,535.38
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