Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.26 / $2,482.15 / $14,482.00	Facility		$1,004.26	$2,482.15	$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 $1,786.02 / $2,087.11 / $3,366.43	Facility		$1,786.02	$2,087.11	$3,366.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $618.99 / $893.58 / $1,380.86	Facility		$618.99	$893.58	$1,380.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.59 / $4,103.00 / $8,384.00	Facility		$644.59	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $618.99 / $893.58 / $1,710.38	Facility		$618.99	$893.58	$1,710.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,204.80 / $1,590.34 / $2,374.06	Professional		$1,204.80	$1,590.34	$2,374.06
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