Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.97 / $3,208.99 / $14,482.00	Facility		$1,525.97	$3,208.99	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,036.12 / $4,716.52 / $7,235.26	Facility		$4,036.12	$4,716.52	$7,235.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,525.97 / $2,214.36 / $3,565.55	Facility		$1,525.97	$2,214.36	$3,565.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,525.97 / $3,145.08 / $7,891.00	Facility		$1,525.97	$3,145.08	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,525.97 / $2,214.36 / $3,565.55	Facility		$1,525.97	$2,214.36	$3,565.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,134.95 / $3,819.82 / $5,702.23	Professional		$3,134.95	$3,819.82	$5,702.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,372.77 / $20,372.77 / $20,372.77	Facility		$20,372.77	$20,372.77	$20,372.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $730.11 / $730.11 / $730.11	Facility	AS	$730.11	$730.11	$730.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00