Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.28 / $3,232.94 / $14,482.00	Facility		$1,587.28	$3,232.94	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $21,984.61	Facility		$7,084.00	$12,066.00	$21,984.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,041.52 / $4,722.84 / $7,617.77	Facility		$4,041.52	$4,722.84	$7,617.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,580.55 / $2,132.96 / $3,155.43	Facility		$1,580.55	$2,132.96	$3,155.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,587.28 / $2,803.00 / $7,700.00	Facility		$1,587.28	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,580.55 / $2,132.96 / $3,155.43	Facility		$1,580.55	$2,132.96	$3,155.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,199.95 / $4,923.00 / $6,286.75	Professional		$3,199.95	$4,923.00	$6,286.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,019.36 / $15,019.36 / $15,019.36	Facility		$15,019.36	$15,019.36	$15,019.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00