Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.83 / $2,560.94 / $14,482.00	Facility		$1,216.83	$2,560.94	$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 $3,228.71 / $3,773.01 / $5,787.89	Facility		$3,228.71	$3,773.01	$5,787.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,216.83 / $1,821.12 / $2,689.22	Facility		$1,216.83	$1,821.12	$2,689.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,216.83 / $2,447.13 / $14,246.00	Facility		$1,216.83	$2,447.13	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,216.83 / $1,763.55 / $2,689.22	Facility		$1,216.83	$1,763.55	$2,689.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,497.30 / $3,042.86 / $4,542.39	Professional		$2,497.30	$3,042.86	$4,542.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,338.79 / $10,338.79 / $10,338.79	Facility		$10,338.79	$10,338.79	$10,338.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $581.61 / $581.61 / $581.61	Facility	AS	$581.61	$581.61	$581.61
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