Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.23 / $5,273.95 / $14,482.00	Facility		$2,191.23	$5,273.95	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,845.98 / $4,494.33 / $7,249.20	Facility		$3,845.98	$4,494.33	$7,249.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,011.46 / $1,836.46 / $2,866.50	Facility		$1,011.46	$1,836.46	$2,866.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,333.51 / $5,478.08 / $11,598.00	Facility		$1,333.51	$5,478.08	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,011.46 / $1,836.46 / $2,933.70	Facility		$1,011.46	$1,836.46	$2,933.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,565.60 / $3,386.59 / $5,055.51	Professional		$2,565.60	$3,386.59	$5,055.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,192.32 / $10,192.32 / $10,192.32	Facility		$10,192.32	$10,192.32	$10,192.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00