Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.21 / $2,109.17 / $14,482.00	Facility		$1,105.21	$2,109.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $15,738.00 / $23,778.77	Facility		$1,183.00	$15,738.00	$23,778.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,648.39 / $3,094.86 / $4,991.89	Facility		$2,648.39	$3,094.86	$4,991.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,031.15 / $1,412.32 / $2,015.43	Facility		$1,031.15	$1,412.32	$2,015.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,049.65 / $1,449.00 / $2,090.40	Facility		$1,049.65	$1,449.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,031.15 / $1,412.32 / $2,015.43	Facility		$1,031.15	$1,412.32	$2,015.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,009.15 / $3,102.44 / $3,654.49	Professional		$2,009.15	$3,102.44	$3,654.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $88,258.85 / $88,258.85 / $88,258.85	Facility		$88,258.85	$88,258.85	$88,258.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90