Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.48 / $3,882.15 / $14,482.00	Facility		$2,396.48	$3,882.15	$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 $4,847.12 / $5,664.25 / $9,136.23	Facility		$4,847.12	$5,664.25	$9,136.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,897.94 / $2,997.67 / $4,196.35	Facility		$1,897.94	$2,997.67	$4,196.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,181.23 / $3,583.00 / $7,700.00	Facility		$2,181.23	$3,583.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,897.94 / $2,997.67 / $4,196.35	Facility		$1,897.94	$2,997.67	$4,196.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,884.40 / $5,998.11 / $7,863.28	Professional		$3,884.40	$5,998.11	$7,863.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,025.11 / $48,025.11 / $48,025.11	Facility		$48,025.11	$48,025.11	$48,025.11
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $904.66 / $904.66 / $904.66	Facility	AS	$904.66	$904.66	$904.66
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