Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.70 / $2,950.27 / $14,482.00	Facility		$1,399.70	$2,950.27	$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 $3,712.61 / $4,338.47 / $6,655.35	Facility		$3,712.61	$4,338.47	$6,655.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,399.70 / $2,040.11 / $3,093.90	Facility		$1,399.70	$2,040.11	$3,093.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,431.36 / $2,728.00 / $14,246.00	Facility		$1,431.36	$2,728.00	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,399.70 / $2,008.36 / $3,093.90	Facility		$1,399.70	$2,008.36	$3,093.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,004.95 / $3,661.42 / $5,465.77	Professional		$3,004.95	$3,661.42	$5,465.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,297.63 / $19,297.63 / $19,297.63	Facility		$19,297.63	$19,297.63	$19,297.63
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $699.84 / $699.84 / $699.84	Facility	AS	$699.84	$699.84	$699.84
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