Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.19 / $5,155.58 / $14,482.00	Facility		$2,105.19	$5,155.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,708.11 / $4,333.22 / $6,989.33	Facility		$3,708.11	$4,333.22	$6,989.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,295.46 / $1,913.90 / $2,857.20	Facility		$1,295.46	$1,913.90	$2,857.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,542.82 / $6,154.00 / $16,779.00	Facility		$1,542.82	$6,154.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,295.46 / $1,913.90 / $3,150.00	Facility		$1,295.46	$1,913.90	$3,150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,499.60 / $3,299.47 / $4,683.42	Professional		$2,499.60	$3,299.47	$4,683.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62,665.40 / $62,665.40 / $62,665.40	Facility		$62,665.40	$62,665.40	$62,665.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00