Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.06 / $1,956.96 / $14,482.00	Facility		$1,039.06	$1,956.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,695.00 / $15,579.70	Facility		$5,479.00	$9,695.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,472.67 / $2,889.51 / $4,660.68	Facility		$2,472.67	$2,889.51	$4,660.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $958.69 / $1,171.96 / $3,184.13	Facility		$958.69	$1,171.96	$3,184.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,039.06 / $3,184.13 / $8,384.00	Facility		$1,039.06	$3,184.13	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $958.69 / $1,171.96 / $3,184.13	Facility		$958.69	$1,171.96	$3,184.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,887.60 / $2,904.00 / $3,433.40	Professional		$1,887.60	$2,904.00	$3,433.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,905.80 / $7,905.80 / $7,905.80	Facility		$7,905.80	$7,905.80	$7,905.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,080.00 / $7,611.00 / $9,134.00	Facility		$5,080.00	$7,611.00	$9,134.00