Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.24 / $3,577.66 / $14,482.00	Facility		$1,602.24	$3,577.66	$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 $4,496.59 / $5,254.62 / $8,475.52	Facility		$4,496.59	$5,254.62	$8,475.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,602.24 / $2,365.96 / $3,489.32	Facility		$1,602.24	$2,365.96	$3,489.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,140.00 / $7,700.00	Facility		$1,716.00	$3,140.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,602.24 / $2,390.85 / $3,489.32	Facility		$1,602.24	$2,390.85	$3,489.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,719.95 / $5,723.00 / $7,559.60	Professional		$3,719.95	$5,723.00	$7,559.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,968.72 / $25,968.72 / $25,968.72	Facility		$25,968.72	$25,968.72	$25,968.72
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