Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.19 / $5,584.32 / $14,482.00	Facility		$2,505.19	$5,584.32	$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 $6,986.38 / $8,164.14 / $13,168.47	Facility		$6,986.38	$8,164.14	$13,168.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,505.19 / $3,735.75 / $5,336.13	Facility		$2,505.19	$3,735.75	$5,336.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,505.19 / $3,925.00 / $7,700.00	Facility		$2,505.19	$3,925.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,505.19 / $3,735.75 / $5,336.13	Facility		$2,505.19	$3,735.75	$5,336.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,837.65 / $8,981.00 / $11,877.26	Professional		$5,837.65	$8,981.00	$11,877.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,542.48 / $40,542.48 / $40,542.48	Facility		$40,542.48	$40,542.48	$40,542.48
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