Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.26 / $2,566.60 / $14,482.00	Facility		$1,455.26	$2,566.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,227.81 / $3,771.95 / $6,084.03	Facility		$3,227.81	$3,771.95	$6,084.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,368.85 / $1,702.65 / $4,911.64	Facility		$1,368.85	$1,702.65	$4,911.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,368.85 / $2,488.23 / $7,700.00	Facility		$1,368.85	$2,488.23	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,368.85 / $1,702.65 / $4,911.64	Facility		$1,368.85	$1,702.65	$4,911.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,619.50 / $3,622.16 / $4,576.47	Professional		$2,619.50	$3,622.16	$4,576.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,321.12 / $12,321.12 / $12,321.12	Facility		$12,321.12	$12,321.12	$12,321.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00