Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.20 / $3,745.24 / $14,482.00	Facility		$1,677.20	$3,745.24	$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 $4,718.26 / $5,513.67 / $8,458.10	Facility		$4,718.26	$5,513.67	$8,458.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,677.20 / $2,513.21 / $3,997.79	Facility		$1,677.20	$2,513.21	$3,997.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,677.20 / $2,639.89 / $6,235.00	Facility		$1,677.20	$2,639.89	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,677.20 / $2,499.03 / $3,997.79	Facility		$1,677.20	$2,499.03	$3,997.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,809.65 / $4,641.91 / $6,929.46	Professional		$3,809.65	$4,641.91	$6,929.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,385.48 / $31,385.48 / $31,385.48	Facility		$31,385.48	$31,385.48	$31,385.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00