Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.84 / $4,567.35 / $14,482.00	Facility		$1,211.84	$4,567.35	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $15,219.00 / $33,604.00	Facility		$5,692.00	$15,219.00	$33,604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,227.81 / $3,771.95 / $5,786.27	Facility		$3,227.81	$3,771.95	$5,786.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,211.84 / $1,771.01 / $3,150.81	Facility		$1,211.84	$1,771.01	$3,150.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,233.04 / $2,562.73 / $16,976.00	Facility		$1,233.04	$2,562.73	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,211.84 / $1,771.01 / $3,150.81	Facility		$1,211.84	$1,771.01	$3,150.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,598.05 / $3,165.62 / $4,725.64	Professional		$2,598.05	$3,165.62	$4,725.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,686.66 / $16,686.66 / $16,686.66	Facility		$16,686.66	$16,686.66	$16,686.66
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,781.71 / $3,781.71 / $3,781.71	Facility	62	$3,781.71	$3,781.71	$3,781.71
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $605.07 / $605.07 / $605.07	Facility	AS	$605.07	$605.07	$605.07
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