Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,865.51 / $4,632.43 / $14,482.00	Facility		$2,865.51	$4,632.43	$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 $5,782.49 / $6,757.29 / $10,899.27	Facility		$5,782.49	$6,757.29	$10,899.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,264.75 / $3,585.21 / $5,040.00	Facility		$2,264.75	$3,585.21	$5,040.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,839.00 / $9,547.50	Facility		$2,429.00	$3,839.00	$9,547.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,264.75 / $3,585.21 / $5,040.00	Facility		$2,264.75	$3,585.21	$5,040.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,637.75 / $7,161.40 / $9,386.20	Professional		$4,637.75	$7,161.40	$9,386.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51,899.45 / $51,899.45 / $51,899.45	Facility		$51,899.45	$51,899.45	$51,899.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,080.10 / $1,080.10 / $1,080.10	Facility	AS	$1,080.10	$1,080.10	$1,080.10
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