Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.02 / $3,751.64 / $24,976.59	Facility		$1,113.02	$3,751.64	$24,976.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,588.02 / $3,024.30 / $4,878.09	Facility		$2,588.02	$3,024.30	$4,878.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,029.13 / $1,256.23 / $3,344.87	Facility		$1,029.13	$1,256.23	$3,344.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,113.02 / $7,984.00 / $17,200.00	Facility		$1,113.02	$7,984.00	$17,200.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,029.13 / $1,256.23 / $3,344.87	Facility		$1,029.13	$1,256.23	$3,344.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,039.05 / $3,137.00 / $3,708.88	Professional		$2,039.05	$3,137.00	$3,708.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00