Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.16 / $2,524.01 / $14,482.00	Facility		$1,028.16	$2,524.01	$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 $1,816.66 / $2,122.91 / $3,424.18	Facility		$1,816.66	$2,122.91	$3,424.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $629.42 / $963.24 / $1,398.12	Facility		$629.42	$963.24	$1,398.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $686.37 / $4,103.00 / $8,384.00	Facility		$686.37	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $629.42 / $963.24 / $1,667.29	Facility		$629.42	$963.24	$1,667.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,223.40 / $1,614.89 / $2,410.71	Professional		$1,223.40	$1,614.89	$2,410.71
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00