Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.68 / $4,411.12 / $14,482.00	Facility		$1,798.68	$4,411.12	$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 $3,164.73 / $3,698.24 / $5,965.13	Facility		$3,164.73	$3,698.24	$5,965.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,160.32 / $1,760.05 / $2,375.19	Facility		$1,160.32	$1,760.05	$2,375.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,320.04 / $7,301.00 / $15,702.00	Facility		$1,320.04	$7,301.00	$15,702.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,160.32 / $1,705.05 / $2,441.92	Facility		$1,160.32	$1,705.05	$2,441.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,139.00 / $2,823.48 / $4,214.89	Professional		$2,139.00	$2,823.48	$4,214.89
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00