Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.76 / $4,038.23 / $14,482.00	Facility		$1,657.76	$4,038.23	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,925.04 / $3,418.14 / $5,513.33	Facility		$2,925.04	$3,418.14	$5,513.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,021.01 / $1,485.81 / $2,243.87	Facility		$1,021.01	$1,485.81	$2,243.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,132.92 / $4,144.39 / $8,384.00	Facility		$1,132.92	$4,144.39	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,021.01 / $1,485.81 / $2,730.00	Facility		$1,021.01	$1,485.81	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,957.20 / $2,583.50 / $3,667.14	Professional		$1,957.20	$2,583.50	$3,667.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,741.80 / $7,741.80 / $7,741.80	Facility		$7,741.80	$7,741.80	$7,741.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00