Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.45 / $6,401.29 / $14,482.00	Facility		$1,755.45	$6,401.29	$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 $7,980.32 / $9,325.62 / $15,041.92	Facility		$7,980.32	$9,325.62	$15,041.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,129.52 / $4,397.09 / $6,116.79	Facility		$3,129.52	$4,397.09	$6,116.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $4,396.00 / $7,700.00	Facility		$2,803.00	$4,396.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,129.52 / $4,397.09 / $6,116.79	Facility		$3,129.52	$4,397.09	$6,116.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,416.80 / $9,908.53 / $12,969.35	Professional		$6,416.80	$9,908.53	$12,969.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79,310.28 / $79,310.28 / $79,310.28	Facility		$79,310.28	$79,310.28	$79,310.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,494.44 / $1,494.44 / $1,494.44	Facility	AS	$1,494.44	$1,494.44	$1,494.44
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