Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.51 / $4,089.36 / $16,666.40	Facility		$1,051.51	$4,089.36	$16,666.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,973.70 / $3,475.00 / $5,605.05	Facility		$2,973.70	$3,475.00	$5,605.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,051.51 / $1,473.02 / $2,192.55	Facility		$1,051.51	$1,473.02	$2,192.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,051.51 / $5,266.00 / $15,126.00	Facility		$1,051.51	$5,266.00	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,051.51 / $1,473.02 / $2,192.55	Facility		$1,051.51	$1,473.02	$2,192.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,179.44 / $3,353.00 / $3,964.25	Professional		$2,179.44	$3,353.00	$3,964.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00