Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.14 / $4,076.96 / $14,482.00	Facility		$1,438.14	$4,076.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,809.94 / $4,452.21 / $6,829.81	Facility		$3,809.94	$4,452.21	$6,829.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,438.14 / $2,157.21 / $3,426.13	Facility		$1,438.14	$2,157.21	$3,426.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,468.87 / $3,048.86 / $19,562.00	Facility		$1,468.87	$3,048.86	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,438.14 / $2,157.21 / $3,426.13	Facility		$1,438.14	$2,157.21	$3,426.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,103.10 / $3,781.01 / $5,644.30	Professional		$3,103.10	$3,781.01	$5,644.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,256.07 / $16,256.07 / $16,256.07	Facility		$16,256.07	$16,256.07	$16,256.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $722.70 / $722.70 / $722.70	Facility	AS	$722.70	$722.70	$722.70
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