Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,886.53 / $4,678.14 / $14,482.00	Facility		$2,886.53	$4,678.14	$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 $2,287.10 / $3,611.04 / $5,065.95	Facility		$2,287.10	$3,611.04	$5,065.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,287.10 / $3,839.00 / $7,889.38	Facility		$2,287.10	$3,839.00	$7,889.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,287.10 / $3,611.04 / $5,065.95	Facility		$2,287.10	$3,611.04	$5,065.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,670.89 / $7,212.59 / $9,472.23	Professional		$4,670.89	$7,212.59	$9,472.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,797.25 / $57,797.25 / $57,797.25	Facility		$57,797.25	$57,797.25	$57,797.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,087.83 / $1,087.83 / $1,087.83	Facility	AS	$1,087.83	$1,087.83	$1,087.83
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