Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,004.54 / $4,869.34 / $14,482.00	Facility		$3,004.54	$4,869.34	$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 $6,060.03 / $7,081.63 / $11,422.41	Facility		$6,060.03	$7,081.63	$11,422.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,380.57 / $3,760.83 / $4,652.92	Facility		$2,380.57	$3,760.83	$4,652.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,760.83 / $7,700.00	Facility		$2,429.00	$3,760.83	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,380.57 / $3,760.83 / $4,652.92	Facility		$2,380.57	$3,760.83	$4,652.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,881.50 / $7,537.79 / $9,840.91	Professional		$4,881.50	$7,537.79	$9,840.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60,186.21 / $60,186.21 / $60,186.21	Facility		$60,186.21	$60,186.21	$60,186.21
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,136.88 / $1,136.88 / $1,136.88	Facility	AS	$1,136.88	$1,136.88	$1,136.88
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