Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.97 / $3,054.49 / $14,482.00	Facility		$1,371.97	$3,054.49	$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 $3,844.18 / $4,492.22 / $7,245.80	Facility		$3,844.18	$4,492.22	$7,245.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,371.97 / $2,031.80 / $2,980.39	Facility		$1,371.97	$2,031.80	$2,980.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,493.31 / $2,803.00 / $7,700.00	Facility		$1,493.31	$2,803.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,371.97 / $2,041.61 / $2,980.39	Facility		$1,371.97	$2,041.61	$2,980.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,112.20 / $4,788.00 / $6,487.92	Professional		$3,112.20	$4,788.00	$6,487.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,882.12 / $21,882.12 / $21,882.12	Facility		$21,882.12	$21,882.12	$21,882.12
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