Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.52 / $3,008.74 / $14,482.00	Facility		$1,423.52	$3,008.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,788.31 / $4,426.93 / $6,791.04	Facility		$3,788.31	$4,426.93	$6,791.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,423.52 / $1,992.93 / $3,343.05	Facility		$1,423.52	$1,992.93	$3,343.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,423.52 / $2,951.95 / $14,246.00	Facility		$1,423.52	$2,951.95	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,423.52 / $1,969.27 / $3,343.05	Facility		$1,423.52	$1,969.27	$3,343.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,011.45 / $3,669.34 / $5,477.60	Professional		$3,011.45	$3,669.34	$5,477.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,392.00 / $19,392.00 / $19,392.00	Facility		$19,392.00	$19,392.00	$19,392.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $701.35 / $701.35 / $701.35	Facility	AS	$701.35	$701.35	$701.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00