Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.03 / $3,303.81 / $14,482.00	Facility		$1,566.03	$3,303.81	$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 $4,153.26 / $4,853.42 / $7,445.26	Facility		$4,153.26	$4,853.42	$7,445.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,566.03 / $2,218.59 / $3,670.90	Facility		$1,566.03	$2,218.59	$3,670.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,566.03 / $3,234.46 / $16,976.00	Facility		$1,566.03	$3,234.46	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,566.03 / $2,218.59 / $3,670.90	Facility		$1,566.03	$2,218.59	$3,670.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,283.80 / $4,001.18 / $5,972.98	Professional		$3,283.80	$4,001.18	$5,972.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,373.06 / $17,373.06 / $17,373.06	Facility		$17,373.06	$17,373.06	$17,373.06
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $764.78 / $764.78 / $764.78	Facility	AS	$764.78	$764.78	$764.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00