Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,894.14 / $4,687.39 / $14,482.00	Facility		$2,894.14	$4,687.39	$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 $5,841.96 / $6,826.79 / $11,011.38	Facility		$5,841.96	$6,826.79	$11,011.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,291.62 / $3,621.79 / $5,250.00	Facility		$2,291.62	$3,621.79	$5,250.00
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 $2,291.62 / $3,621.79 / $5,250.00	Facility		$2,291.62	$3,621.79	$5,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,691.05 / $7,243.70 / $9,486.69	Professional		$4,691.05	$7,243.70	$9,486.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52,435.44 / $52,435.44 / $52,435.44	Facility		$52,435.44	$52,435.44	$52,435.44
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,092.52 / $1,092.52 / $1,092.52	Facility	AS	$1,092.52	$1,092.52	$1,092.52
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