Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.25 / $2,979.76 / $17,823.00	Facility		$1,321.25	$2,979.76	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $22,519.00	Facility		$11,499.00	$16,241.00	$22,519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,710.81 / $4,336.38 / $6,652.11	Facility		$3,710.81	$4,336.38	$6,652.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,321.25 / $1,968.66 / $3,203.29	Facility		$1,321.25	$1,968.66	$3,203.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,324.34 / $2,675.29 / $16,976.00	Facility		$1,324.34	$2,675.29	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,321.25 / $1,968.66 / $3,203.29	Facility		$1,321.25	$1,968.66	$3,203.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,086.85 / $3,761.21 / $5,614.74	Professional		$3,086.85	$3,761.21	$5,614.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,976.53 / $15,976.53 / $15,976.53	Facility		$15,976.53	$15,976.53	$15,976.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00