Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.41 / $2,487.17 / $14,482.00	Facility		$1,180.41	$2,487.17	$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 $3,134.10 / $3,662.44 / $5,618.27	Facility		$3,134.10	$3,662.44	$5,618.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,180.41 / $1,713.52 / $2,763.53	Facility		$1,180.41	$1,713.52	$2,763.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,180.41 / $2,441.73 / $14,246.00	Facility		$1,180.41	$2,441.73	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,180.41 / $1,713.52 / $2,763.53	Facility		$1,180.41	$1,713.52	$2,763.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,424.50 / $2,954.16 / $4,409.97	Professional		$2,424.50	$2,954.16	$4,409.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,033.52 / $10,033.52 / $10,033.52	Facility		$10,033.52	$10,033.52	$10,033.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $564.65 / $564.65 / $564.65	Facility	AS	$564.65	$564.65	$564.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00