Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.11 / $2,343.53 / $14,482.00	Facility		$1,379.11	$2,343.53	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,933.15 / $3,427.61 / $5,528.62	Facility		$2,933.15	$3,427.61	$5,528.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,145.73 / $1,588.44 / $2,239.38	Facility		$1,145.73	$1,588.44	$2,239.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,315.70 / $2,553.00 / $7,700.00	Facility		$1,315.70	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,145.73 / $1,588.44 / $2,239.38	Facility		$1,145.73	$1,588.44	$2,239.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,343.90 / $3,616.89 / $4,622.79	Professional		$2,343.90	$3,616.89	$4,622.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,944.81 / $17,944.81 / $17,944.81	Facility		$17,944.81	$17,944.81	$17,944.81
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $545.88 / $545.88 / $545.88	Facility	AS	$545.88	$545.88	$545.88
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