Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $2,688.71 / $14,482.00	Facility		$1,121.68	$2,688.71	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,984.27 / $2,318.77 / $3,740.10	Facility		$1,984.27	$2,318.77	$3,740.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $678.81 / $966.33 / $1,507.09	Facility		$678.81	$966.33	$1,507.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.35 / $4,240.00 / $11,598.00	Facility		$709.35	$4,240.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $670.50 / $966.33 / $1,630.66	Facility		$670.50	$966.33	$1,630.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,302.59 / $1,719.43 / $2,440.64	Professional		$1,302.59	$1,719.43	$2,440.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00