Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.15 / $3,204.63 / $14,482.00	Facility		$1,887.15	$3,204.63	$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 $4,005.48 / $4,680.72 / $7,549.83	Facility		$4,005.48	$4,680.72	$7,549.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,566.71 / $2,172.62 / $3,109.18	Facility		$1,566.71	$2,172.62	$3,109.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,679.90 / $7,775.00 / $19,754.00	Facility		$1,679.90	$7,775.00	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,566.71 / $2,172.62 / $3,109.18	Facility		$1,566.71	$2,172.62	$3,109.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,204.50 / $4,930.00 / $6,297.70	Professional		$3,204.50	$4,930.00	$6,297.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,187.84 / $30,187.84 / $30,187.84	Facility		$30,187.84	$30,187.84	$30,187.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $746.31 / $746.31 / $746.31	Facility	AS	$746.31	$746.31	$746.31
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