Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,312.51 / $4,376.39 / $14,482.00	Facility		$2,312.51	$4,376.39	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,525.67 / $6,457.18 / $10,415.20	Facility		$5,525.67	$6,457.18	$10,415.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,139.57 / $2,611.06 / $4,271.71	Facility		$2,139.57	$2,611.06	$4,271.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,139.57 / $3,364.00 / $7,700.00	Facility		$2,139.57	$3,364.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,139.57 / $2,611.06 / $4,271.71	Facility		$2,139.57	$2,611.06	$4,271.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,243.20 / $6,552.15 / $7,718.05	Professional		$4,243.20	$6,552.15	$7,718.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,791.96 / $22,791.96 / $22,791.96	Facility		$22,791.96	$22,791.96	$22,791.96
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