Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.49 / $2,185.46 / $14,482.00	Facility		$1,000.49	$2,185.46	$14,482.00
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 $2,826.81 / $3,303.36 / $5,328.19	Facility		$2,826.81	$3,303.36	$5,328.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.49 / $1,406.61 / $2,088.34	Facility		$1,000.49	$1,406.61	$2,088.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.49 / $5,266.00 / $15,126.00	Facility		$1,000.49	$5,266.00	$15,126.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,000.49 / $1,486.94 / $2,088.34	Facility		$1,000.49	$1,486.94	$2,088.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,075.44 / $3,193.00 / $3,775.08	Professional		$2,075.44	$3,193.00	$3,775.08
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 $4,687.66 / $11,608.00 / $13,980.00	Facility		$4,687.66	$11,608.00	$13,980.00