Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.06 / $5,471.93 / $14,482.00	Facility		$2,240.06	$5,471.93	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,444.00 / $20,227.00	Facility		$8,712.00	$12,444.00	$20,227.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,883.66 / $8,044.10 / $12,974.84	Facility		$6,883.66	$8,044.10	$12,974.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,240.06 / $3,694.84 / $9,009.62	Facility		$2,240.06	$3,694.84	$9,009.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,542.35 / $5,550.00 / $14,978.00	Facility		$2,542.35	$5,550.00	$14,978.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,240.06 / $3,694.84 / $9,009.62	Facility		$2,240.06	$3,694.84	$9,009.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,321.55 / $7,574.53 / $9,679.49	Professional		$5,321.55	$7,574.53	$9,679.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,900.41 / $18,900.41 / $18,900.41	Facility		$18,900.41	$18,900.41	$18,900.41
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $7,746.01 / $7,746.01 / $7,746.01	Facility	62	$7,746.01	$7,746.01	$7,746.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,239.35 / $1,239.35 / $1,239.35	Facility	AS	$1,239.35	$1,239.35	$1,239.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,608.00 / $13,980.00	Facility		$4,635.00	$11,608.00	$13,980.00