Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,225.03 / $5,215.16 / $14,482.00	Facility		$3,225.03	$5,215.16	$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 $6,515.10 / $7,613.41 / $12,280.16	Facility		$6,515.10	$7,613.41	$12,280.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,549.64 / $4,037.43 / $5,665.45	Facility		$2,549.64	$4,037.43	$5,665.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,037.43 / $8,228.73	Facility		$2,429.00	$4,037.43	$8,228.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,549.64 / $4,037.43 / $5,665.45	Facility		$2,549.64	$4,037.43	$5,665.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,224.05 / $8,066.74 / $10,579.79	Professional		$5,224.05	$8,066.74	$10,579.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64,674.75 / $64,674.75 / $64,674.75	Facility		$64,674.75	$64,674.75	$64,674.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,216.66 / $1,216.66 / $1,216.66	Facility	AS	$1,216.66	$1,216.66	$1,216.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00