Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,881.73 / $4,572.97 / $14,482.00	Facility		$1,881.73	$4,572.97	$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 $5,770.77 / $6,743.60 / $10,344.86	Facility		$5,770.77	$6,743.60	$10,344.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,032.43 / $3,124.85 / $6,452.52	Facility		$2,032.43	$3,124.85	$6,452.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,085.79 / $5,080.00 / $8,384.00	Facility		$2,085.79	$5,080.00	$8,384.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,409.11 / $6,409.11 / $6,409.11	Facility	62	$6,409.11	$6,409.11	$6,409.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,032.43 / $3,124.85 / $6,452.52	Facility		$2,032.43	$3,124.85	$6,452.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,227.64 / $5,420.55 / $7,692.55	Professional		$4,227.64	$5,420.55	$7,692.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,163.43 / $13,130.70 / $13,130.70	Facility		$4,163.43	$13,130.70	$13,130.70
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,602.15 / $6,409.11 / $6,409.11	Facility	62	$2,602.15	$6,409.11	$6,409.11
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