Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.20 / $2,907.45 / $14,482.00	Facility		$1,187.20	$2,907.45	$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 $2,101.41 / $2,455.67 / $3,960.90	Facility		$2,101.41	$2,455.67	$3,960.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $725.05 / $1,081.58 / $1,617.25	Facility		$725.05	$1,081.58	$1,617.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $789.80 / $4,103.00 / $8,384.00	Facility		$789.80	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $725.05 / $1,081.58 / $1,960.74	Facility		$725.05	$1,081.58	$1,960.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,409.40 / $1,860.41 / $2,640.75	Professional		$1,409.40	$1,860.41	$2,640.75
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00