Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.77 / $2,812.77 / $14,482.00	Facility		$1,387.77	$2,812.77	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,528.79 / $4,123.67 / $6,651.33	Facility		$3,528.79	$4,123.67	$6,651.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,375.13 / $1,823.59 / $2,698.50	Facility		$1,375.13	$1,823.59	$2,698.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,387.77 / $6,154.00 / $16,779.00	Facility		$1,387.77	$6,154.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,375.13 / $1,823.59 / $2,698.50	Facility		$1,375.13	$1,823.59	$2,698.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,683.20 / $4,143.27 / $5,605.31	Professional		$2,683.20	$4,143.27	$5,605.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00