Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.72 / $2,733.28 / $14,482.00	Facility		$1,439.72	$2,733.28	$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 $3,444.08 / $4,024.68 / $6,491.67	Facility		$3,444.08	$4,024.68	$6,491.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,340.26 / $1,625.24 / $5,203.35	Facility		$1,340.26	$1,625.24	$5,203.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,439.72 / $2,668.60 / $7,700.00	Facility		$1,439.72	$2,668.60	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,340.26 / $1,625.24 / $5,203.35	Facility		$1,340.26	$1,625.24	$5,203.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,647.45 / $4,088.07 / $4,815.51	Professional		$2,647.45	$4,088.07	$4,815.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,191.65 / $14,191.65 / $14,191.65	Facility		$14,191.65	$14,191.65	$14,191.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00