Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.24 / $3,770.15 / $14,482.00	Facility		$1,794.24	$3,770.15	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $15,287.53	Facility		$5,169.00	$7,532.89	$15,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,738.99 / $5,537.88 / $8,495.26	Facility		$4,738.99	$5,537.88	$8,495.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,794.24 / $2,680.99 / $3,965.27	Facility		$1,794.24	$2,680.99	$3,965.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,794.24 / $3,578.08 / $13,120.00	Facility		$1,794.24	$3,578.08	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,794.24 / $2,602.91 / $3,965.27	Facility		$1,794.24	$2,602.91	$3,965.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,687.45 / $4,493.02 / $6,707.19	Professional		$3,687.45	$4,493.02	$6,707.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,326.61 / $28,326.61 / $28,326.61	Facility		$28,326.61	$28,326.61	$28,326.61
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $858.79 / $858.79 / $858.79	Facility	AS	$858.79	$858.79	$858.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $11,608.00 / $13,980.00	Facility		$4,628.00	$11,608.00	$13,980.00