Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,183.40 / $3,537.04 / $14,482.00	Facility		$2,183.40	$3,537.04	$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 $4,411.88 / $5,155.63 / $8,315.86	Facility		$4,411.88	$5,155.63	$8,315.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,729.22 / $2,421.12 / $3,426.93	Facility		$1,729.22	$2,421.12	$3,426.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,886.42 / $3,364.00 / $7,868.00	Facility		$1,886.42	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,729.22 / $2,421.12 / $3,426.93	Facility		$1,729.22	$2,421.12	$3,426.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,538.60 / $5,464.14 / $7,155.69	Professional		$3,538.60	$5,464.14	$7,155.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,301.12 / $33,301.12 / $33,301.12	Facility		$33,301.12	$33,301.12	$33,301.12
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $824.12 / $824.12 / $824.12	Facility	AS	$824.12	$824.12	$824.12
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