Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.54 / $4,018.14 / $14,482.00	Facility		$1,637.54	$4,018.14	$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 $2,901.61 / $3,390.76 / $5,469.17	Facility		$2,901.61	$3,390.76	$5,469.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,002.03 / $1,501.79 / $2,127.06	Facility		$1,002.03	$1,501.79	$2,127.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.44 / $4,614.00 / $8,384.00	Facility		$1,202.44	$4,614.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,002.03 / $1,501.79 / $2,234.44	Facility		$1,002.03	$1,501.79	$2,234.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,947.00 / $2,570.04 / $3,648.03	Professional		$1,947.00	$2,570.04	$3,648.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,673.34 / $7,673.34 / $7,673.34	Facility		$7,673.34	$7,673.34	$7,673.34
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