Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.04 / $3,299.31 / $14,482.00	Facility		$1,369.04	$3,299.31	$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 $2,430.32 / $2,840.02 / $4,580.85	Facility		$2,430.32	$2,840.02	$4,580.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $822.77 / $1,099.14 / $1,846.48	Facility		$822.77	$1,099.14	$1,846.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.54 / $4,103.00 / $8,384.00	Facility		$871.54	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $822.77 / $1,099.14 / $1,911.00	Facility		$822.77	$1,099.14	$1,911.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,597.80 / $2,109.10 / $3,148.46	Professional		$1,597.80	$2,109.10	$3,148.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,378.96 / $6,378.96 / $6,378.96	Facility		$6,378.96	$6,378.96	$6,378.96
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