Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.14 / $2,529.90 / $14,482.00	Facility		$1,204.14	$2,529.90	$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 $3,184.56 / $3,721.41 / $5,708.74	Facility		$3,184.56	$3,721.41	$5,708.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,204.14 / $1,750.00 / $2,661.15	Facility		$1,204.14	$1,750.00	$2,661.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,204.14 / $2,205.00 / $14,246.00	Facility		$1,204.14	$2,205.00	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,204.14 / $1,748.44 / $2,661.15	Facility		$1,204.14	$1,748.44	$2,661.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,470.00 / $3,009.60 / $4,492.74	Professional		$2,470.00	$3,009.60	$4,492.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,306.25 / $7,306.25 / $7,306.25	Facility		$7,306.25	$7,306.25	$7,306.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $575.25 / $575.25 / $575.25	Facility	AS	$575.25	$575.25	$575.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00