Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,457.59 / $9,258.59 / $16,500.90	Facility		$5,457.59	$9,258.59	$16,500.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,528.03 / $13,471.41 / $21,728.91	Facility		$11,528.03	$13,471.41	$21,728.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,526.42 / $6,364.96 / $8,847.10	Facility		$4,526.42	$6,364.96	$8,847.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $5,267.11 / $8,948.49	Facility		$2,803.00	$5,267.11	$8,948.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,526.42 / $6,364.96 / $8,847.10	Facility		$4,526.42	$6,364.96	$8,847.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,302.79 / $14,364.95 / $18,396.04	Professional		$9,302.79	$14,364.95	$18,396.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114,807.21 / $114,807.21 / $114,807.21	Facility		$114,807.21	$114,807.21	$114,807.21
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $13,541.08 / $13,541.08 / $13,541.08	Facility	62	$13,541.08	$13,541.08	$13,541.08
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