Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.89 / $3,075.63 / $14,482.00	Facility		$1,253.89	$3,075.63	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,214.05 / $2,587.29 / $4,173.21	Facility		$2,214.05	$2,587.29	$4,173.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $766.99 / $1,157.88 / $1,680.00	Facility		$766.99	$1,157.88	$1,680.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $872.22 / $5,266.00 / $14,978.00	Facility		$872.22	$5,266.00	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $766.99 / $1,157.88 / $1,706.48	Facility		$766.99	$1,157.88	$1,706.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,490.40 / $1,967.33 / $2,792.51	Professional		$1,490.40	$1,967.33	$2,792.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00