Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.07 / $3,328.56 / $14,482.00	Facility		$1,542.07	$3,328.56	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,695.00 / $17,436.00	Facility		$5,479.00	$9,695.00	$17,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,197.42 / $4,905.01 / $7,911.61	Facility		$4,197.42	$4,905.01	$7,911.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,542.07 / $1,893.58 / $5,608.20	Facility		$1,542.07	$1,893.58	$5,608.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,542.50 / $4,103.00 / $8,384.00	Facility		$1,542.50	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,542.07 / $1,968.98 / $5,608.20	Facility		$1,542.07	$1,968.98	$5,608.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,258.45 / $5,013.00 / $5,926.87	Professional		$3,258.45	$5,013.00	$5,926.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,552.56 / $13,552.56 / $13,552.56	Facility		$13,552.56	$13,552.56	$13,552.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00