Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.82 / $2,178.48 / $14,482.00	Facility		$1,036.82	$2,178.48	$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 $2,745.71 / $3,208.58 / $4,922.05	Facility		$2,745.71	$3,208.58	$4,922.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,036.82 / $1,517.77 / $2,420.55	Facility		$1,036.82	$1,517.77	$2,420.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.63 / $2,132.52 / $14,246.00	Facility		$1,047.63	$2,132.52	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,036.82 / $1,472.34 / $2,420.55	Facility		$1,036.82	$1,472.34	$2,420.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,196.35 / $2,676.17 / $3,994.99	Professional		$2,196.35	$2,676.17	$3,994.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,024.86 / $18,024.86 / $18,024.86	Facility		$18,024.86	$18,024.86	$18,024.86
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $511.52 / $511.52 / $511.52	Facility	AS	$511.52	$511.52	$511.52
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00