Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.38 / $3,507.37 / $14,482.00	Facility		$1,668.38	$3,507.37	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,405.58 / $5,148.26 / $7,897.57	Facility		$4,405.58	$5,148.26	$7,897.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,668.38 / $2,394.75 / $3,732.40	Facility		$1,668.38	$2,394.75	$3,732.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,702.07 / $3,351.48 / $16,976.00	Facility		$1,702.07	$3,351.48	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,668.38 / $2,338.25 / $3,732.40	Facility		$1,668.38	$2,338.25	$3,732.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,545.10 / $4,319.57 / $6,448.26	Professional		$3,545.10	$4,319.57	$6,448.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,841.72 / $22,841.72 / $22,841.72	Facility		$22,841.72	$22,841.72	$22,841.72
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $825.64 / $825.64 / $825.64	Facility	AS	$825.64	$825.64	$825.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00