Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,234.19 / $4,692.60 / $14,482.00	Facility		$2,234.19	$4,692.60	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,896.03 / $6,889.98 / $10,569.40	Facility		$5,896.03	$6,889.98	$10,569.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,234.19 / $3,127.87 / $4,971.51	Facility		$2,234.19	$3,127.87	$4,971.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,264.07 / $4,692.60 / $14,270.00	Facility		$2,264.07	$4,692.60	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,234.19 / $3,127.87 / $4,971.51	Facility		$2,234.19	$3,127.87	$4,971.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,721.60 / $5,753.09 / $8,588.23	Professional		$4,721.60	$5,753.09	$8,588.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,967.80 / $24,967.80 / $24,967.80	Facility		$24,967.80	$24,967.80	$24,967.80
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $6,872.73 / $6,872.73 / $6,872.73	Facility	62	$6,872.73	$6,872.73	$6,872.73
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,099.64 / $1,099.64 / $1,099.64	Facility	AS	$1,099.64	$1,099.64	$1,099.64
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00