Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.73 / $4,178.43 / $14,482.00	Facility		$1,875.73	$4,178.43	$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 $5,242.72 / $6,126.53 / $9,881.87	Facility		$5,242.72	$6,126.53	$9,881.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,875.73 / $2,777.11 / $4,070.53	Facility		$1,875.73	$2,777.11	$4,070.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,919.36 / $3,364.00 / $7,700.00	Facility		$1,919.36	$3,364.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,875.73 / $2,777.11 / $4,070.53	Facility		$1,875.73	$2,777.11	$4,070.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,349.80 / $6,692.00 / $8,892.84	Professional		$4,349.80	$6,692.00	$8,892.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,310.08 / $30,310.08 / $30,310.08	Facility		$30,310.08	$30,310.08	$30,310.08
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