Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.73 / $2,910.58 / $14,482.00	Facility		$1,374.73	$2,910.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $17,296.00	Facility		$5,169.00	$7,532.89	$17,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,662.15 / $4,279.51 / $6,564.88	Facility		$3,662.15	$4,279.51	$6,564.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,374.73 / $1,924.62 / $3,038.15	Facility		$1,374.73	$1,924.62	$3,038.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,395.23 / $2,438.19 / $14,246.00	Facility		$1,395.23	$2,438.19	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,374.73 / $1,915.73 / $3,038.15	Facility		$1,374.73	$1,915.73	$3,038.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,949.05 / $3,593.30 / $5,364.10	Professional		$2,949.05	$3,593.30	$5,364.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,469.20 / $15,469.20 / $15,469.20	Facility		$15,469.20	$15,469.20	$15,469.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $686.82 / $686.82 / $686.82	Facility	AS	$686.82	$686.82	$686.82
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