Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,877.77 / $4,587.16 / $14,482.00	Facility		$1,877.77	$4,587.16	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,314.32 / $3,873.04 / $6,247.08	Facility		$3,314.32	$3,873.04	$6,247.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,143.93 / $1,696.38 / $2,548.59	Facility		$1,143.93	$1,696.38	$2,548.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,241.86 / $5,266.00 / $14,978.00	Facility		$1,241.86	$5,266.00	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,143.93 / $1,696.38 / $3,072.71	Facility		$1,143.93	$1,696.38	$3,072.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,223.00 / $2,934.36 / $4,165.16	Professional		$2,223.00	$2,934.36	$4,165.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00