Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.55 / $3,097.96 / $14,482.00	Facility		$1,466.55	$3,097.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,891.94 / $4,548.04 / $6,976.80	Facility		$3,891.94	$4,548.04	$6,976.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,466.55 / $2,140.79 / $3,442.18	Facility		$1,466.55	$2,140.79	$3,442.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,499.80 / $3,032.49 / $16,976.00	Facility		$1,499.80	$3,032.49	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,466.55 / $2,140.79 / $3,442.18	Facility		$1,466.55	$2,140.79	$3,442.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,170.70 / $3,863.38 / $5,767.26	Professional		$3,170.70	$3,863.38	$5,767.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,826.78 / $25,826.78 / $25,826.78	Facility		$25,826.78	$25,826.78	$25,826.78
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $738.44 / $738.44 / $738.44	Facility	AS	$738.44	$738.44	$738.44
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