Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.65 / $3,213.79 / $14,482.00	Facility		$1,520.65	$3,213.79	$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 $4,039.72 / $4,720.72 / $7,241.73	Facility		$4,039.72	$4,720.72	$7,241.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,520.65 / $2,192.26 / $3,570.88	Facility		$1,520.65	$2,192.26	$3,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,522.67 / $3,149.26 / $14,246.00	Facility		$1,522.67	$3,149.26	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,520.65 / $2,192.26 / $3,570.88	Facility		$1,520.65	$2,192.26	$3,570.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,229.85 / $3,935.45 / $5,874.85	Professional		$3,229.85	$3,935.45	$5,874.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,718.28 / $20,718.28 / $20,718.28	Facility		$20,718.28	$20,718.28	$20,718.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $752.22 / $752.22 / $752.22	Facility	AS	$752.22	$752.22	$752.22
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