Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,925.31 / $4,734.58 / $14,482.00	Facility		$2,925.31	$4,734.58	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,908.64 / $6,904.72 / $11,137.06	Facility		$5,908.64	$6,904.72	$11,137.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,314.69 / $3,235.16 / $4,524.16	Facility		$2,314.69	$3,235.16	$4,524.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,314.69 / $3,661.03 / $7,700.00	Facility		$2,314.69	$3,661.03	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,314.69 / $3,235.16 / $4,524.16	Facility		$2,314.69	$3,235.16	$4,524.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,743.70 / $7,325.00 / $9,592.60	Professional		$4,743.70	$7,325.00	$9,592.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58,642.92 / $58,642.92 / $58,642.92	Facility		$58,642.92	$58,642.92	$58,642.92
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,104.78 / $1,104.78 / $1,104.78	Facility	AS	$1,104.78	$1,104.78	$1,104.78
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