Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.79 / $3,185.65 / $14,482.00	Facility		$1,704.79	$3,185.65	$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 $3,014.25 / $3,522.39 / $5,681.48	Facility		$3,014.25	$3,522.39	$5,681.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,062.34 / $1,561.03 / $2,214.88	Facility		$1,062.34	$1,561.03	$2,214.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,250.56 / $5,266.00 / $14,978.00	Facility		$1,250.56	$5,266.00	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,062.34 / $1,561.03 / $2,321.25	Facility		$1,062.34	$1,561.03	$2,321.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,025.00 / $2,673.00 / $3,794.18	Professional		$2,025.00	$2,673.00	$3,794.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,420.15 / $19,420.15 / $19,420.15	Facility		$19,420.15	$19,420.15	$19,420.15
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