Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.13 / $14,482.00 / $35,730.75	Facility		$1,045.13	$14,482.00	$35,730.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $20,943.00 / $52,845.00	Facility		$1,183.00	$20,943.00	$52,845.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.41 / $858.22 / $1,384.28	Facility		$734.41	$858.22	$1,384.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.69 / $401.55 / $568.25	Facility		$286.69	$401.55	$568.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.69 / $1,368.00 / $20,082.90	Facility		$286.69	$1,368.00	$20,082.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.69 / $401.55 / $568.25	Facility		$286.69	$401.55	$568.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $584.35 / $828.25 / $1,189.31	Professional		$584.35	$828.25	$1,189.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,561.00 / $7,561.00 / $7,561.00	Facility		$7,561.00	$7,561.00	$7,561.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $35,066.75 / $40,397.19 / $51,568.75	Facility		$35,066.75	$40,397.19	$51,568.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,641.00 / $21,163.40	Facility		$1,008.00	$1,641.00	$21,163.40