Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.60 / $2,950.22 / $14,482.00	Facility		$1,564.60	$2,950.22	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,741.45 / $4,372.18 / $7,052.17	Facility		$3,741.45	$4,372.18	$7,052.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,311.21 / $1,573.45 / $2,819.10	Facility		$1,311.21	$1,573.45	$2,819.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,442.33 / $4,103.00 / $8,384.00	Facility		$1,442.33	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,311.21 / $1,573.45 / $2,819.10	Facility		$1,311.21	$1,573.45	$2,819.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,854.15 / $4,391.00 / $5,191.47	Professional		$2,854.15	$4,391.00	$5,191.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,669.44 / $13,669.44 / $13,669.44	Facility		$13,669.44	$13,669.44	$13,669.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00