Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.27 / $2,591.92 / $14,482.00	Facility		$1,158.27	$2,591.92	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,252.14 / $3,800.39 / $6,129.89	Facility		$3,252.14	$3,800.39	$6,129.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,158.27 / $1,720.84 / $2,529.78	Facility		$1,158.27	$1,720.84	$2,529.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,267.17 / $2,553.00 / $7,700.00	Facility		$1,267.17	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,158.27 / $1,720.84 / $2,529.78	Facility		$1,158.27	$1,720.84	$2,529.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,694.90 / $4,146.00 / $5,502.52	Professional		$2,694.90	$4,146.00	$5,502.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,622.70 / $15,622.70 / $15,622.70	Facility		$15,622.70	$15,622.70	$15,622.70
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