Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.56 / $3,108.79 / $14,482.00	Facility		$1,292.56	$3,108.79	$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 $2,288.84 / $2,674.70 / $4,314.18	Facility		$2,288.84	$2,674.70	$4,314.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $775.26 / $1,033.78 / $1,711.50	Facility		$775.26	$1,033.78	$1,711.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $818.20 / $4,240.00 / $11,598.00	Facility		$818.20	$4,240.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $775.26 / $1,033.78 / $1,741.80	Facility		$775.26	$1,033.78	$1,741.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,505.40 / $1,987.13 / $2,820.62	Professional		$1,505.40	$1,987.13	$2,820.62
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 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00