Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,423.46 / $3,006.70 / $14,482.00	Facility		$1,423.46	$3,006.70	$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 $3,786.51 / $4,424.83 / $6,787.81	Facility		$3,786.51	$4,424.83	$6,787.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,423.46 / $1,995.66 / $3,340.78	Facility		$1,423.46	$1,995.66	$3,340.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,423.46 / $2,949.95 / $14,246.00	Facility		$1,423.46	$2,949.95	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,423.46 / $1,995.66 / $3,340.78	Facility		$1,423.46	$1,995.66	$3,340.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,006.90 / $3,663.79 / $5,469.32	Professional		$3,006.90	$3,663.79	$5,469.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,865.83 / $15,865.83 / $15,865.83	Facility		$15,865.83	$15,865.83	$15,865.83
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,376.83 / $4,376.83 / $4,376.83	Facility	62	$4,376.83	$4,376.83	$4,376.83
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $700.29 / $700.29 / $700.29	Facility	AS	$700.29	$700.29	$700.29
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