Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.48 / $2,569.61 / $14,482.00	Facility		$1,221.48	$2,569.61	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,424.00 / $7,210.00	Facility		$2,740.00	$4,424.00	$7,210.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,229.61 / $3,774.06 / $5,789.50	Facility		$3,229.61	$3,774.06	$5,789.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,221.48 / $1,710.07 / $2,699.47	Facility		$1,221.48	$1,710.07	$2,699.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $2,455.41 / $16,976.00	Facility		$1,232.72	$2,455.41	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,221.48 / $1,698.42 / $2,699.47	Facility		$1,221.48	$1,698.42	$2,699.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,585.69 / $3,150.58 / $4,703.18	Professional		$2,585.69	$3,150.58	$4,703.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,205.52 / $21,205.52 / $21,205.52	Facility		$21,205.52	$21,205.52	$21,205.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $602.19 / $602.19 / $602.19	Facility	AS	$602.19	$602.19	$602.19
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