Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.51 / $2,062.98 / $14,482.00	Facility		$1,208.51	$2,062.98	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,576.30 / $3,010.61 / $4,856.01	Facility		$2,576.30	$3,010.61	$4,856.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,100.26 / $1,413.96 / $5,658.80	Facility		$1,100.26	$1,413.96	$5,658.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.26 / $5,658.80 / $16,779.00	Facility		$1,100.26	$5,658.80	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,100.26 / $1,413.96 / $5,658.80	Facility		$1,100.26	$1,413.96	$5,658.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,050.75 / $3,155.00 / $4,023.48	Professional		$2,050.75	$3,155.00	$4,023.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,297.91 / $19,297.91 / $19,297.91	Facility		$19,297.91	$19,297.91	$19,297.91
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $477.61 / $477.61 / $477.61	Facility	AS	$477.61	$477.61	$477.61
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