Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.49 / $3,136.12 / $32,841.22	Facility		$1,935.49	$3,136.12	$32,841.22
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 $3,915.37 / $4,575.42 / $7,379.98	Facility		$3,915.37	$4,575.42	$7,379.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,533.21 / $2,422.88 / $3,570.00	Facility		$1,533.21	$2,422.88	$3,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,672.60 / $3,035.99 / $8,246.59	Facility		$1,672.60	$3,035.99	$8,246.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,533.21 / $2,422.88 / $3,570.00	Facility		$1,533.21	$2,422.88	$3,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,148.60 / $4,861.92 / $6,355.71	Professional		$3,148.60	$4,861.92	$6,355.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,169.94 / $48,169.94 / $48,169.94	Facility		$48,169.94	$48,169.94	$48,169.94
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $733.29 / $733.29 / $733.29	Facility	AS	$733.29	$733.29	$733.29
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