Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.19 / $2,468.36 / $14,482.00	Facility		$1,217.19	$2,468.36	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,091.74 / $3,612.95 / $5,827.55	Facility		$3,091.74	$3,612.95	$5,827.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,217.19 / $1,663.41 / $4,249.81	Facility		$1,217.19	$1,663.41	$4,249.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,217.19 / $2,572.50 / $7,700.00	Facility		$1,217.19	$2,572.50	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,217.19 / $1,687.65 / $4,249.81	Facility		$1,217.19	$1,687.65	$4,249.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,365.35 / $3,652.46 / $4,897.45	Professional		$2,365.35	$3,652.46	$4,897.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,849.07 / $9,849.07 / $9,849.07	Facility		$9,849.07	$9,849.07	$9,849.07
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