Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.95 / $2,337.07 / $14,482.00	Facility		$1,236.95	$2,337.07	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,961.08 / $3,460.26 / $5,581.27	Facility		$2,961.08	$3,460.26	$5,581.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,147.44 / $1,392.64 / $3,606.83	Facility		$1,147.44	$1,392.64	$3,606.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,236.95 / $3,606.83 / $11,598.00	Facility		$1,236.95	$3,606.83	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,147.44 / $1,392.64 / $3,606.83	Facility		$1,147.44	$1,392.64	$3,606.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,260.05 / $3,445.66 / $4,110.85	Professional		$2,260.05	$3,445.66	$4,110.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,446.36 / $9,446.36 / $9,446.36	Facility		$9,446.36	$9,446.36	$9,446.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00