Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,888.59 / $4,677.72 / $14,482.00	Facility		$2,888.59	$4,677.72	$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 $5,834.75 / $6,818.37 / $10,997.79	Facility		$5,834.75	$6,818.37	$10,997.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,286.89 / $3,613.67 / $5,074.87	Facility		$2,286.89	$3,613.67	$5,074.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,613.67 / $8,273.37	Facility		$2,429.00	$3,613.67	$8,273.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,286.89 / $3,613.67 / $5,074.87	Facility		$2,286.89	$3,613.67	$5,074.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,672.85 / $7,215.60 / $9,474.09	Professional		$4,672.85	$7,215.60	$9,474.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,817.41 / $57,817.41 / $57,817.41	Facility		$57,817.41	$57,817.41	$57,817.41
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $6,801.77 / $6,801.77 / $6,801.77	Facility	62	$6,801.77	$6,801.77	$6,801.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,088.28 / $1,088.28 / $1,088.28	Facility	AS	$1,088.28	$1,088.28	$1,088.28
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