Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.16 / $4,589.82 / $14,482.00	Facility		$1,887.16	$4,589.82	$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 $5,791.50 / $6,767.82 / $10,382.02	Facility		$5,791.50	$6,767.82	$10,382.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,039.92 / $3,121.92 / $6,480.09	Facility		$2,039.92	$3,121.92	$6,480.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,094.85 / $5,080.00 / $8,384.00	Facility		$2,094.85	$5,080.00	$8,384.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,434.68 / $6,434.68 / $6,434.68	Facility	62	$6,434.68	$6,434.68	$6,434.68
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,029.55 / $1,029.55 / $1,029.55	Facility	AS	$1,029.55	$1,029.55	$1,029.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,039.92 / $3,121.92 / $6,480.09	Facility		$2,039.92	$3,121.92	$6,480.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,244.50 / $5,442.16 / $7,723.22	Professional		$4,244.50	$5,442.16	$7,723.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,179.08 / $10,546.76 / $10,546.76	Facility		$4,179.08	$10,546.76	$10,546.76
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,611.92 / $6,434.68 / $6,434.68	Facility	62	$2,611.92	$6,434.68	$6,434.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $417.91 / $1,029.55 / $1,029.55	Facility	AS	$417.91	$1,029.55	$1,029.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00