Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.64 / $2,394.38 / $14,482.00	Facility		$1,137.64	$2,394.38	$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 $3,024.16 / $3,533.97 / $5,421.20	Facility		$3,024.16	$3,533.97	$5,421.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,137.64 / $1,664.59 / $2,514.17	Facility		$1,137.64	$1,664.59	$2,514.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,137.64 / $2,287.96 / $14,246.00	Facility		$1,137.64	$2,287.96	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,137.64 / $1,646.93 / $2,514.17	Facility		$1,137.64	$1,646.93	$2,514.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,332.85 / $2,842.49 / $4,243.27	Professional		$2,332.85	$2,842.49	$4,243.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,671.76 / $9,671.76 / $9,671.76	Facility		$9,671.76	$9,671.76	$9,671.76
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $543.30 / $543.30 / $543.30	Facility	AS	$543.30	$543.30	$543.30
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