Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,932.29 / $3,917.07 / $14,482.00	Facility		$1,932.29	$3,917.07	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,901.18 / $5,727.43 / $9,238.14	Facility		$4,901.18	$5,727.43	$9,238.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,932.29 / $2,653.62 / $8,784.39	Facility		$1,932.29	$2,653.62	$8,784.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,932.29 / $3,583.00 / $8,784.39	Facility		$1,932.29	$3,583.00	$8,784.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,932.29 / $2,805.14 / $8,784.39	Facility		$1,932.29	$2,805.14	$8,784.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,742.05 / $5,778.30 / $7,819.15	Professional		$3,742.05	$5,778.30	$7,819.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,086.47 / $20,086.47 / $20,086.47	Facility		$20,086.47	$20,086.47	$20,086.47
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