Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,662.35 / $3,203.39 / $14,482.00	Facility		$1,662.35	$3,203.39	$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 $2,245.59 / $2,624.15 / $4,232.66	Facility		$2,245.59	$2,624.15	$4,232.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $878.74 / $1,064.09 / $1,745.07	Facility		$878.74	$1,064.09	$1,745.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.74 / $15,854.90 / $28,824.00	Facility		$878.74	$15,854.90	$28,824.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $878.74 / $1,064.09 / $1,745.07	Facility		$878.74	$1,064.09	$1,745.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,952.13 / $2,457.19 / $3,292.32	Professional		$1,952.13	$2,457.19	$3,292.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51,247.45 / $51,247.45 / $51,247.45	Facility		$51,247.45	$51,247.45	$51,247.45
United Facility/Professional Facility Modifier Low / Median / High Price $11,078.00 / $19,708.00 / $24,111.00	Facility		$11,078.00	$19,708.00	$24,111.00