Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.65 / $2,638.22 / $14,482.00	Facility		$1,073.65	$2,638.22	$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 $1,892.35 / $2,211.36 / $3,566.85	Facility		$1,892.35	$2,211.36	$3,566.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $693.16 / $991.42 / $1,462.45	Facility		$693.16	$991.42	$1,462.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $761.23 / $4,103.00 / $8,384.00	Facility		$761.23	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $693.16 / $991.42 / $1,903.71	Facility		$693.16	$991.42	$1,903.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,280.40 / $1,690.13 / $2,523.03	Professional		$1,280.40	$1,690.13	$2,523.03
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 $4,665.92 / $7,611.00 / $9,134.00	Facility		$4,665.92	$7,611.00	$9,134.00