Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.91 / $2,472.28 / $14,482.00	Facility		$1,130.91	$2,472.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,167.44 / $3,701.40 / $5,970.23	Facility		$3,167.44	$3,701.40	$5,970.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,130.91 / $1,643.52 / $2,590.50	Facility		$1,130.91	$1,643.52	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,208.67 / $13,528.00 / $31,762.00	Facility		$1,208.67	$13,528.00	$31,762.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,130.91 / $1,643.52 / $2,590.50	Facility		$1,130.91	$1,643.52	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,364.69 / $3,651.46 / $4,301.21	Professional		$2,364.69	$3,651.46	$4,301.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $156,719.79 / $156,719.79 / $156,719.79	Facility		$156,719.79	$156,719.79	$156,719.79
United Facility/Professional Facility Modifier Low / Median / High Price $13,676.00 / $21,823.00 / $27,528.00	Facility		$13,676.00	$21,823.00	$27,528.00