Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.21 / $1,809.85 / $14,482.00	Facility		$1,063.21	$1,809.85	$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 $2,264.51 / $2,646.26 / $4,268.33	Facility		$2,264.51	$2,646.26	$4,268.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $884.82 / $1,220.34 / $1,729.42	Facility		$884.82	$1,220.34	$1,729.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,012.82 / $2,553.00 / $7,700.00	Facility		$1,012.82	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $884.82 / $1,220.34 / $1,729.42	Facility		$884.82	$1,220.34	$1,729.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,803.75 / $2,775.00 / $3,537.48	Professional		$1,803.75	$2,775.00	$3,537.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,984.32 / $16,984.32 / $16,984.32	Facility		$16,984.32	$16,984.32	$16,984.32
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $420.09 / $420.09 / $420.09	Facility	AS	$420.09	$420.09	$420.09
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