Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.88 / $2,410.51 / $14,482.00	Facility		$1,142.88	$2,410.51	$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 $3,037.68 / $3,549.76 / $5,445.43	Facility		$3,037.68	$3,549.76	$5,445.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,142.88 / $1,600.03 / $2,678.35	Facility		$1,142.88	$1,600.03	$2,678.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,142.88 / $2,367.77 / $13,250.00	Facility		$1,142.88	$2,367.77	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,142.88 / $1,600.03 / $2,678.35	Facility		$1,142.88	$1,600.03	$2,678.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,348.44 / $2,861.50 / $4,271.64	Professional		$2,348.44	$2,861.50	$4,271.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,942.85 / $6,942.85 / $6,942.85	Facility		$6,942.85	$6,942.85	$6,942.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $546.94 / $546.94 / $546.94	Facility	AS	$546.94	$546.94	$546.94
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