Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.33 / $3,036.40 / $14,482.00	Facility		$1,359.33	$3,036.40	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $13,906.00 / $22,165.00	Facility		$1,979.00	$13,906.00	$22,165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,791.01 / $4,430.10 / $7,145.59	Facility		$3,791.01	$4,430.10	$7,145.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,359.33 / $1,992.34 / $3,023.82	Facility		$1,359.33	$1,992.34	$3,023.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,394.16 / $3,023.82 / $6,150.00	Facility		$1,394.16	$3,023.82	$6,150.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,359.33 / $1,992.34 / $3,023.82	Facility		$1,359.33	$1,992.34	$3,023.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,160.30 / $4,862.00 / $6,386.14	Professional		$3,160.30	$4,862.00	$6,386.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,870.72 / $21,870.72 / $21,870.72	Facility		$21,870.72	$21,870.72	$21,870.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00