Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.94 / $4,085.83 / $14,482.00	Facility		$1,088.94	$4,085.83	$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 $2,889.89 / $3,377.07 / $5,180.51	Facility		$2,889.89	$3,377.07	$5,180.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,088.94 / $1,524.52 / $2,406.56	Facility		$1,088.94	$1,524.52	$2,406.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,088.94 / $1,916.74 / $14,246.00	Facility		$1,088.94	$1,916.74	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,088.94 / $1,504.38 / $2,406.56	Facility		$1,088.94	$1,504.38	$2,406.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,234.05 / $2,722.10 / $4,063.57	Professional		$2,234.05	$2,722.10	$4,063.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,247.84 / $9,247.84 / $9,247.84	Facility		$9,247.84	$9,247.84	$9,247.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $520.29 / $520.29 / $520.29	Facility	AS	$520.29	$520.29	$520.29
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