Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,681.86 / $2,855.99 / $14,482.00	Facility		$1,681.86	$2,855.99	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,572.04 / $4,174.21 / $6,732.85	Facility		$3,572.04	$4,174.21	$6,732.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,523.20 / $2,079.40 / $4,781.64	Facility		$1,523.20	$2,079.40	$4,781.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,602.70 / $2,729.06 / $7,700.00	Facility		$1,602.70	$2,729.06	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,523.20 / $2,079.40 / $4,781.64	Facility		$1,523.20	$2,079.40	$4,781.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,854.80 / $4,392.00 / $5,604.72	Professional		$2,854.80	$4,392.00	$5,604.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,887.04 / $26,887.04 / $26,887.04	Facility		$26,887.04	$26,887.04	$26,887.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $664.87 / $664.87 / $664.87	Facility	AS	$664.87	$664.87	$664.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00