Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,183.95 / $4,425.35 / $27,547.70	Facility		$1,183.95	$4,425.35	$27,547.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,678.00 / $17,296.00	Facility		$5,169.00	$8,678.00	$17,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,125.08 / $3,651.91 / $5,602.12	Facility		$3,125.08	$3,651.91	$5,602.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,183.95 / $1,765.73 / $2,616.53	Facility		$1,183.95	$1,765.73	$2,616.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,183.95 / $2,431.41 / $13,120.00	Facility		$1,183.95	$2,431.41	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,183.95 / $1,720.61 / $2,616.53	Facility		$1,183.95	$1,720.61	$2,616.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,426.44 / $2,956.54 / $4,413.53	Professional		$2,426.44	$2,956.54	$4,413.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,613.95 / $8,613.95 / $8,613.95	Facility		$8,613.95	$8,613.95	$8,613.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $565.11 / $565.11 / $565.11	Facility	AS	$565.11	$565.11	$565.11
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