Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.56 / $4,610.50 / $14,482.00	Facility		$1,894.56	$4,610.50	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $7,467.00 / $11,852.57	Facility		$1,979.00	$7,467.00	$11,852.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,819.43 / $6,800.47 / $10,432.09	Facility		$5,819.43	$6,800.47	$10,432.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,984.64 / $3,093.99 / $6,523.65	Facility		$1,984.64	$3,093.99	$6,523.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,084.02 / $5,080.00 / $8,384.00	Facility		$2,084.02	$5,080.00	$8,384.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,477.24 / $6,477.24 / $6,477.24	Facility	62	$6,477.24	$6,477.24	$6,477.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,984.64 / $3,093.99 / $6,523.65	Facility		$1,984.64	$3,093.99	$6,523.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,272.59 / $5,478.17 / $7,774.32	Professional		$4,272.59	$5,478.17	$7,774.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,197.97 / $15,913.20 / $15,913.20	Facility		$4,197.97	$15,913.20	$15,913.20
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,623.74 / $6,477.24 / $6,477.24	Facility	62	$2,623.74	$6,477.24	$6,477.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00