Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.99 / $2,980.94 / $14,482.00	Facility		$1,421.99	$2,980.94	$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 $3,778.40 / $4,415.35 / $6,773.27	Facility		$3,778.40	$4,415.35	$6,773.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,421.99 / $2,038.30 / $3,312.15	Facility		$1,421.99	$2,038.30	$3,312.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,421.99 / $2,913.35 / $14,246.00	Facility		$1,421.99	$2,913.35	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,421.99 / $2,038.30 / $3,312.15	Facility		$1,421.99	$2,038.30	$3,312.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,903.55 / $3,537.86 / $5,281.33	Professional		$2,903.55	$3,537.86	$5,281.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,622.00 / $8,622.00 / $8,622.00	Facility		$8,622.00	$8,622.00	$8,622.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $676.22 / $676.22 / $676.22	Facility	AS	$676.22	$676.22	$676.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00