Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.63 / $2,377.78 / $14,482.00	Facility		$1,172.63	$2,377.78	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,968.29 / $3,468.68 / $5,594.86	Facility		$2,968.29	$3,468.68	$5,594.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,162.47 / $1,511.91 / $2,272.10	Facility		$1,162.47	$1,511.91	$2,272.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,172.63 / $7,775.00 / $19,754.00	Facility		$1,172.63	$7,775.00	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,162.47 / $1,511.91 / $2,272.10	Facility		$1,162.47	$1,511.91	$2,272.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,267.19 / $3,500.91 / $4,720.10	Professional		$2,267.19	$3,500.91	$4,720.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,189.40 / $22,189.40 / $22,189.40	Facility		$22,189.40	$22,189.40	$22,189.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00