Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.49 / $2,387.27 / $5,565.04	Facility		$1,339.49	$2,387.27	$5,565.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,201.92 / $4,910.28 / $7,920.11	Facility		$4,201.92	$4,910.28	$7,920.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $654.86 / $1,526.57 / $2,983.75	Facility		$654.86	$1,526.57	$2,983.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.58 / $2,291.08 / $13,250.00	Facility		$656.58	$2,291.08	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $654.86 / $1,526.57 / $2,983.75	Facility		$654.86	$1,526.57	$2,983.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,497.59 / $2,701.24 / $5,346.36	Professional		$1,497.59	$2,701.24	$5,346.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,560.00 / $4,560.00 / $4,560.00	Facility		$4,560.00	$4,560.00	$4,560.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $4,628.00 / $4,628.00	Facility		$4,628.00	$4,628.00	$4,628.00