Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.51 / $5,381.14 / $14,482.00	Facility		$1,429.51	$5,381.14	$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 $3,803.63 / $4,444.84 / $6,818.50	Facility		$3,803.63	$4,444.84	$6,818.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,429.51 / $2,012.90 / $3,159.22	Facility		$1,429.51	$2,012.90	$3,159.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,433.30 / $2,562.73 / $14,246.00	Facility		$1,433.30	$2,562.73	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,429.51 / $2,001.31 / $3,159.22	Facility		$1,429.51	$2,001.31	$3,159.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,062.80 / $3,731.90 / $5,571.00	Professional		$3,062.80	$3,731.90	$5,571.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,683.73 / $19,683.73 / $19,683.73	Facility		$19,683.73	$19,683.73	$19,683.73
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $713.31 / $713.31 / $713.31	Facility	AS	$713.31	$713.31	$713.31
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