Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,822.69 / $6,230.48 / $14,482.00	Facility		$2,822.69	$6,230.48	$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 $7,874.89 / $9,202.43 / $14,843.19	Facility		$7,874.89	$9,202.43	$14,843.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,822.69 / $4,166.01 / $5,953.57	Facility		$2,822.69	$4,166.01	$5,953.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,769.10 / $4,166.01 / $7,700.00	Facility		$2,769.10	$4,166.01	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,822.69 / $4,166.01 / $5,953.57	Facility		$2,822.69	$4,166.01	$5,953.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,453.20 / $9,928.00 / $13,202.10	Professional		$6,453.20	$9,928.00	$13,202.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,257.64 / $45,257.64 / $45,257.64	Facility		$45,257.64	$45,257.64	$45,257.64
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