Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.16 / $2,266.90 / $14,482.00	Facility		$1,075.16	$2,266.90	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,850.24 / $3,330.73 / $5,109.43	Facility		$2,850.24	$3,330.73	$5,109.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,075.16 / $1,612.02 / $2,518.78	Facility		$1,075.16	$1,612.02	$2,518.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,075.16 / $2,224.56 / $14,246.00	Facility		$1,075.16	$2,224.56	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,075.16 / $1,558.59 / $2,518.78	Facility		$1,075.16	$1,558.59	$2,518.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,198.30 / $2,678.54 / $3,998.54	Professional		$2,198.30	$2,678.54	$3,998.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,394.40 / $10,394.40 / $10,394.40	Facility		$10,394.40	$10,394.40	$10,394.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $511.97 / $511.97 / $511.97	Facility	AS	$511.97	$511.97	$511.97
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