Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $3,156.14 / $14,482.00	Facility		$0.96	$3,156.14	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,916.00 / $20,562.00	Facility		$8,712.00	$12,916.00	$20,562.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,973.94 / $4,643.85 / $7,490.39	Facility		$3,973.94	$4,643.85	$7,490.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,287.15 / $2,111.65 / $6,189.66	Facility		$1,287.15	$2,111.65	$6,189.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,543.00 / $3,098.24 / $7,700.00	Facility		$1,543.00	$3,098.24	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,287.15 / $2,111.65 / $6,189.66	Facility		$1,287.15	$2,111.65	$6,189.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,062.15 / $4,330.10 / $5,569.82	Professional		$3,062.15	$4,330.10	$5,569.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,870.26 / $10,870.26 / $10,870.26	Facility		$10,870.26	$10,870.26	$10,870.26
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $713.16 / $713.16 / $713.16	Facility	AS	$713.16	$713.16	$713.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00