Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.47 / $3,211.65 / $14,482.00	Facility		$1,331.47	$3,211.65	$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 $2,360.03 / $2,757.89 / $4,448.37	Facility		$2,360.03	$2,757.89	$4,448.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $800.91 / $1,073.52 / $1,797.94	Facility		$800.91	$1,073.52	$1,797.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.24 / $4,240.00 / $11,598.00	Facility		$843.24	$4,240.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $800.91 / $1,073.52 / $1,911.00	Facility		$800.91	$1,073.52	$1,911.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,556.40 / $2,054.44 / $2,916.17	Professional		$1,556.40	$2,054.44	$2,916.17
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