Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.81 / $3,496.12 / $14,482.00	Facility		$1,561.81	$3,496.12	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,384.85 / $5,124.04 / $8,264.90	Facility		$4,384.85	$5,124.04	$8,264.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,561.81 / $2,315.94 / $3,410.31	Facility		$1,561.81	$2,315.94	$3,410.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,709.21 / $2,803.00 / $7,700.00	Facility		$1,709.21	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,561.81 / $2,315.94 / $3,410.31	Facility		$1,561.81	$2,315.94	$3,410.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,633.50 / $5,590.00 / $7,418.88	Professional		$3,633.50	$5,590.00	$7,418.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,185.69 / $23,185.69 / $23,185.69	Facility		$23,185.69	$23,185.69	$23,185.69
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