Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.80 / $2,715.37 / $14,482.00	Facility		$1,286.80	$2,715.37	$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 $3,416.15 / $3,992.04 / $6,123.89	Facility		$3,416.15	$3,992.04	$6,123.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,286.80 / $1,869.80 / $3,017.08	Facility		$1,286.80	$1,869.80	$3,017.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,286.80 / $2,661.64 / $16,976.00	Facility		$1,286.80	$2,661.64	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,286.80 / $1,869.80 / $3,017.08	Facility		$1,286.80	$1,869.80	$3,017.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,713.10 / $3,305.81 / $4,934.92	Professional		$2,713.10	$3,305.81	$4,934.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,264.76 / $22,264.76 / $22,264.76	Facility		$22,264.76	$22,264.76	$22,264.76
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $631.87 / $631.87 / $631.87	Facility	AS	$631.87	$631.87	$631.87
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