Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.61 / $3,896.53 / $14,482.00	Facility		$1,744.61	$3,896.53	$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 $4,884.97 / $5,708.48 / $9,207.57	Facility		$4,884.97	$5,708.48	$9,207.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,744.61 / $2,078.15 / $3,723.35	Facility		$1,744.61	$2,078.15	$3,723.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,791.85 / $2,803.00 / $7,700.00	Facility		$1,791.85	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,744.61 / $2,078.15 / $3,723.35	Facility		$1,744.61	$2,078.15	$3,723.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,062.50 / $6,250.00 / $8,264.35	Professional		$4,062.50	$6,250.00	$8,264.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,262.64 / $28,262.64 / $28,262.64	Facility		$28,262.64	$28,262.64	$28,262.64
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