Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,876.29 / $4,651.13 / $14,482.00	Facility		$2,876.29	$4,651.13	$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 $5,796.00 / $6,773.09 / $10,924.75	Facility		$5,796.00	$6,773.09	$10,924.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,273.89 / $3,602.62 / $4,444.42	Facility		$2,273.89	$3,602.62	$4,444.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,273.89 / $3,602.62 / $7,868.00	Facility		$2,273.89	$3,602.62	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,273.89 / $3,602.62 / $4,444.42	Facility		$2,273.89	$3,602.62	$4,444.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,667.14 / $6,056.42 / $8,483.00	Professional		$3,667.14	$6,056.42	$8,483.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,616.23 / $57,616.23 / $57,616.23	Facility		$57,616.23	$57,616.23	$57,616.23
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,086.16 / $1,086.16 / $1,086.16	Facility	AS	$1,086.16	$1,086.16	$1,086.16
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