Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.82 / $1,942.60 / $14,482.00	Facility		$1,027.82	$1,942.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $18,603.00	Facility		$7,084.00	$12,066.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,453.75 / $2,867.40 / $4,625.02	Facility		$2,453.75	$2,867.40	$4,625.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $958.70 / $1,160.74 / $3,384.56	Facility		$958.70	$1,160.74	$3,384.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,027.82 / $3,384.56 / $11,598.00	Facility		$1,027.82	$3,384.56	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $949.72 / $1,160.74 / $3,384.56	Facility		$949.72	$1,160.74	$3,384.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,883.05 / $2,907.72 / $3,425.12	Professional		$1,883.05	$2,907.72	$3,425.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,871.08 / $7,871.08 / $7,871.08	Facility		$7,871.08	$7,871.08	$7,871.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00