Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,643.44 / $3,957.91 / $14,482.00	Facility		$1,643.44	$3,957.91	$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 $2,898.90 / $3,387.60 / $5,464.07	Facility		$2,898.90	$3,387.60	$5,464.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $987.01 / $1,339.59 / $1,972.13	Facility		$987.01	$1,339.59	$1,972.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,046.73 / $4,240.00 / $11,598.00	Facility		$1,046.73	$4,240.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $987.01 / $1,339.59 / $2,210.91	Facility		$987.01	$1,339.59	$2,210.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,920.60 / $2,535.19 / $3,784.54	Professional		$1,920.60	$2,535.19	$3,784.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
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