Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.29 / $4,914.74 / $14,482.00	Facility		$2,203.29	$4,914.74	$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 $6,138.43 / $7,173.24 / $11,003.93	Facility		$6,138.43	$7,173.24	$11,003.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,203.29 / $3,304.94 / $5,250.00	Facility		$2,203.29	$3,304.94	$5,250.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.29 / $3,371.03 / $6,235.00	Facility		$2,203.29	$3,371.03	$6,235.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,203.29 / $3,282.90 / $5,250.00	Facility		$2,203.29	$3,282.90	$5,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,131.10 / $6,252.05 / $9,333.08	Professional		$5,131.10	$6,252.05	$9,333.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,571.22 / $32,571.22 / $32,571.22	Facility		$32,571.22	$32,571.22	$32,571.22
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