Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.41 / $2,434.66 / $14,482.00	Facility		$1,155.41	$2,434.66	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $17,048.00 / $23,460.00	Facility		$11,499.00	$17,048.00	$23,460.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,069.21 / $3,586.62 / $5,501.97	Facility		$3,069.21	$3,586.62	$5,501.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,155.41 / $1,630.40 / $2,705.18	Facility		$1,155.41	$1,630.40	$2,705.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,155.41 / $2,391.25 / $14,246.00	Facility		$1,155.41	$2,391.25	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,155.41 / $1,630.40 / $2,705.18	Facility		$1,155.41	$1,630.40	$2,705.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,372.50 / $2,890.80 / $4,315.39	Professional		$2,372.50	$2,890.80	$4,315.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,223.20 / $11,223.20 / $11,223.20	Facility		$11,223.20	$11,223.20	$11,223.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $552.54 / $552.54 / $552.54	Facility	AS	$552.54	$552.54	$552.54
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