Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.58 / $2,923.51 / $14,482.00	Facility		$1,304.58	$2,923.51	$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 $3,641.43 / $4,255.29 / $6,527.73	Facility		$3,641.43	$4,255.29	$6,527.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,304.58 / $1,943.84 / $3,092.95	Facility		$1,304.58	$1,943.84	$3,092.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,304.58 / $2,043.54 / $6,235.00	Facility		$1,304.58	$2,043.54	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,304.58 / $1,826.43 / $3,092.95	Facility		$1,304.58	$1,826.43	$3,092.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,942.55 / $3,585.38 / $5,352.27	Professional		$2,942.55	$3,585.38	$5,352.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,842.70 / $23,842.70 / $23,842.70	Facility		$23,842.70	$23,842.70	$23,842.70
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