Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $4,348.89 / $14,482.00	Facility		$87.99	$4,348.89	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,425.64 / $6,340.29 / $10,226.67	Facility		$5,425.64	$6,340.29	$10,226.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,126.12 / $3,361.06 / $4,706.22	Facility		$2,126.12	$3,361.06	$4,706.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,319.41 / $3,839.00 / $9,547.50	Facility		$2,319.41	$3,839.00	$9,547.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,126.12 / $3,361.06 / $4,706.22	Facility		$2,126.12	$3,361.06	$4,706.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,353.70 / $6,722.78 / $8,807.21	Professional		$4,353.70	$6,722.78	$8,807.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,823.63 / $53,823.63 / $53,823.63	Facility		$53,823.63	$53,823.63	$53,823.63
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,013.95 / $1,013.95 / $1,013.95	Facility	AS	$1,013.95	$1,013.95	$1,013.95
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