Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.43 / $2,712.15 / $14,482.00	Facility		$1,287.43	$2,712.15	$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 $3,419.75 / $3,996.25 / $6,130.35	Facility		$3,419.75	$3,996.25	$6,130.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,287.43 / $1,866.44 / $3,013.50	Facility		$1,287.43	$1,866.44	$3,013.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,287.43 / $2,663.55 / $13,120.00	Facility		$1,287.43	$2,663.55	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,287.43 / $1,866.44 / $3,013.50	Facility		$1,287.43	$1,866.44	$3,013.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,642.90 / $3,220.27 / $4,807.22	Professional		$2,642.90	$3,220.27	$4,807.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,940.65 / $10,940.65 / $10,940.65	Facility		$10,940.65	$10,940.65	$10,940.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $615.52 / $615.52 / $615.52	Facility	AS	$615.52	$615.52	$615.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00