Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,264.00 / $3,090.43 / $14,482.00	Facility		$1,264.00	$3,090.43	$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 $2,228.46 / $2,604.14 / $4,200.39	Facility		$2,228.46	$2,604.14	$4,200.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $806.55 / $1,152.34 / $1,715.08	Facility		$806.55	$1,152.34	$1,715.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $4,103.00 / $8,384.00	Facility		$869.72	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $806.55 / $1,152.34 / $2,171.62	Facility		$806.55	$1,152.34	$2,171.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,497.60 / $1,976.83 / $2,806.00	Professional		$1,497.60	$1,976.83	$2,806.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
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