Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.00 / $2,594.11 / $14,482.00	Facility		$1,277.00	$2,594.11	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,238.63 / $3,784.59 / $6,104.41	Facility		$3,238.63	$3,784.59	$6,104.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,268.23 / $1,678.10 / $2,478.82	Facility		$1,268.23	$1,678.10	$2,478.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.00 / $6,154.00 / $16,779.00	Facility		$1,277.00	$6,154.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,268.23 / $1,678.10 / $2,478.82	Facility		$1,268.23	$1,678.10	$2,478.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,479.75 / $3,829.12 / $5,162.66	Professional		$2,479.75	$3,829.12	$5,162.66
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