Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.83 / $2,963.56 / $14,482.00	Facility		$657.83	$2,963.56	$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 $3,727.93 / $4,356.39 / $6,682.81	Facility		$3,727.93	$4,356.39	$6,682.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,401.57 / $2,037.18 / $3,326.58	Facility		$1,401.57	$2,037.18	$3,326.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,433.80 / $2,902.24 / $16,976.00	Facility		$1,433.80	$2,902.24	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,401.57 / $2,037.18 / $3,326.58	Facility		$1,401.57	$2,037.18	$3,326.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,029.00 / $3,690.72 / $5,509.52	Professional		$3,029.00	$3,690.72	$5,509.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,407.96 / $19,407.96 / $19,407.96	Facility		$19,407.96	$19,407.96	$19,407.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $705.44 / $705.44 / $705.44	Facility	AS	$705.44	$705.44	$705.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,924.00 / $15,355.00 / $20,544.00	Facility		$6,924.00	$15,355.00	$20,544.00