Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.05 / $3,168.68 / $14,482.00	Facility		$1,505.05	$3,168.68	$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 $4,000.07 / $4,674.39 / $7,170.65	Facility		$4,000.07	$4,674.39	$7,170.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,505.05 / $2,173.16 / $3,520.75	Facility		$1,505.05	$2,173.16	$3,520.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,505.05 / $3,106.69 / $14,246.00	Facility		$1,505.05	$3,106.69	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,505.05 / $2,153.10 / $3,520.75	Facility		$1,505.05	$2,153.10	$3,520.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,138.85 / $3,824.57 / $5,709.33	Professional		$3,138.85	$3,824.57	$5,709.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,611.12 / $16,611.12 / $16,611.12	Facility		$16,611.12	$16,611.12	$16,611.12
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $731.02 / $731.02 / $731.02	Facility	AS	$731.02	$731.02	$731.02
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