Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.30 / $2,607.17 / $14,482.00	Facility		$1,065.30	$2,607.17	$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 $1,876.13 / $2,192.41 / $3,536.28	Facility		$1,876.13	$2,192.41	$3,536.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $687.49 / $1,033.25 / $1,559.61	Facility		$687.49	$1,033.25	$1,559.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $780.20 / $4,103.00 / $8,384.00	Facility		$780.20	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $687.49 / $1,033.25 / $2,110.80	Facility		$687.49	$1,033.25	$2,110.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,264.20 / $1,668.74 / $2,491.11	Professional		$1,264.20	$1,668.74	$2,491.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00