Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.98 / $4,241.26 / $14,482.00	Facility		$965.98	$4,241.26	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $11,783.00 / $19,639.00	Facility		$8,139.00	$11,783.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,990.82 / $3,495.01 / $5,361.43	Facility		$2,990.82	$3,495.01	$5,361.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,057.67 / $1,570.72 / $3,379.20	Facility		$1,057.67	$1,570.72	$3,379.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,130.20 / $3,333.69 / $15,214.55	Facility		$1,130.20	$3,333.69	$15,214.55
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,442.13 / $1,442.13 / $1,442.13	Facility	AS	$1,442.13	$1,442.13	$1,442.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,057.67 / $1,570.72 / $3,379.20	Facility		$1,057.67	$1,570.72	$3,379.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,221.17 / $2,847.91 / $4,041.60	Professional		$2,221.17	$2,847.91	$4,041.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,318.12 / $15,214.55 / $15,214.55	Facility		$10,318.12	$15,214.55	$15,214.55
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,031.81 / $1,442.13 / $1,442.13	Facility	AS	$1,031.81	$1,442.13	$1,442.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00