Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,641.03 / $5,499.29 / $14,482.00	Facility		$2,641.03	$5,499.29	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,906.00 / $22,165.00	Facility		$8,139.00	$13,906.00	$22,165.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,942.23 / $8,112.54 / $12,444.85	Facility		$6,942.23	$8,112.54	$12,444.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,641.03 / $3,697.44 / $5,836.68	Facility		$2,641.03	$3,697.44	$5,836.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,641.03 / $4,436.18 / $13,120.00	Facility		$2,641.03	$4,436.18	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,641.03 / $3,697.44 / $5,836.68	Facility		$2,641.03	$3,697.44	$5,836.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,286.45 / $6,441.34 / $9,615.65	Professional		$5,286.45	$6,441.34	$9,615.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,425.69 / $28,425.69 / $28,425.69	Facility		$28,425.69	$28,425.69	$28,425.69
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $7,694.91 / $7,694.91 / $7,694.91	Facility	62	$7,694.91	$7,694.91	$7,694.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $11,608.00 / $13,980.00	Facility		$4,628.00	$11,608.00	$13,980.00