Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.71 / $2,236.96 / $14,482.00	Facility		$1,062.71	$2,236.96	$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 $2,824.11 / $3,300.20 / $5,062.59	Facility		$2,824.11	$3,300.20	$5,062.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,062.71 / $1,545.27 / $2,376.00	Facility		$1,062.71	$1,545.27	$2,376.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,062.71 / $2,197.48 / $14,246.00	Facility		$1,062.71	$2,197.48	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,062.71 / $1,540.71 / $2,376.00	Facility		$1,062.71	$1,540.71	$2,376.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,180.10 / $2,656.37 / $3,965.43	Professional		$2,180.10	$2,656.37	$3,965.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,033.36 / $9,033.36 / $9,033.36	Facility		$9,033.36	$9,033.36	$9,033.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $507.73 / $507.73 / $507.73	Facility	AS	$507.73	$507.73	$507.73
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