Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.19 / $1,919.25 / $14,482.00	Facility		$1,005.19	$1,919.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,407.79 / $2,813.70 / $4,538.39	Facility		$2,407.79	$2,813.70	$4,538.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,005.19 / $1,333.78 / $4,630.83	Facility		$1,005.19	$1,333.78	$4,630.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,005.19 / $4,630.83 / $15,743.00	Facility		$1,005.19	$4,630.83	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,005.19 / $1,333.78 / $4,630.83	Facility		$1,005.19	$1,333.78	$4,630.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,829.10 / $2,824.41 / $3,326.99	Professional		$1,829.10	$2,824.41	$3,326.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,110.45 / $27,110.45 / $27,110.45	Facility		$27,110.45	$27,110.45	$27,110.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00