Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.33 / $2,122.04 / $14,482.00	Facility		$1,246.33	$2,122.04	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $13,015.00 / $20,550.38	Facility		$7,084.00	$13,015.00	$20,550.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,654.70 / $3,102.23 / $5,003.78	Facility		$2,654.70	$3,102.23	$5,003.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,131.76 / $1,458.22 / $4,145.62	Facility		$1,131.76	$1,458.22	$4,145.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,131.76 / $4,145.62 / $19,754.00	Facility		$1,131.76	$4,145.62	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,131.76 / $1,458.22 / $4,145.62	Facility		$1,131.76	$1,458.22	$4,145.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,117.69 / $3,258.00 / $4,154.93	Professional		$2,117.69	$3,258.00	$4,154.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,942.24 / $19,942.24 / $19,942.24	Facility		$19,942.24	$19,942.24	$19,942.24
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $493.20 / $493.20 / $493.20	Facility	AS	$493.20	$493.20	$493.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00