Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,599.51 / $3,362.47 / $17,823.00	Facility		$1,599.51	$3,362.47	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $27,412.00	Facility		$11,499.00	$16,241.00	$27,412.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,229.85 / $4,942.92 / $7,972.76	Facility		$4,229.85	$4,942.92	$7,972.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,599.51 / $2,333.48 / $4,158.72	Facility		$1,599.51	$2,333.48	$4,158.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,599.51 / $3,390.96 / $19,754.00	Facility		$1,599.51	$3,390.96	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,599.51 / $2,333.48 / $4,158.72	Facility		$1,599.51	$2,333.48	$4,158.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,285.75 / $4,003.56 / $5,976.53	Professional		$3,285.75	$4,003.56	$5,976.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,475.84 / $40,016.00 / $40,016.00	Facility		$17,475.84	$40,016.00	$40,016.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $765.24 / $765.24 / $765.24	Facility	AS	$765.24	$765.24	$765.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $15,355.00 / $27,414.00	Facility		$8,650.00	$15,355.00	$27,414.00