Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,836.20 / $6,193.51 / $14,482.00	Facility		$3,836.20	$6,193.51	$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 $7,721.70 / $9,023.41 / $14,554.45	Facility		$7,721.70	$9,023.41	$14,554.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,027.94 / $4,808.18 / $5,918.24	Facility		$3,027.94	$4,808.18	$5,918.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,096.39 / $7,868.00	Facility		$2,678.00	$4,096.39	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,027.94 / $4,808.18 / $5,918.24	Facility		$3,027.94	$4,808.18	$5,918.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,888.16 / $8,072.97 / $11,307.52	Professional		$4,888.16	$8,072.97	$11,307.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95,175.60 / $95,175.60 / $95,175.60	Facility		$95,175.60	$95,175.60	$95,175.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,447.81 / $1,447.81 / $1,447.81	Facility	AS	$1,447.81	$1,447.81	$1,447.81
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