Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,097.56 / $3,372.75 / $14,482.00	Facility		$2,097.56	$3,372.75	$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 $4,203.72 / $4,912.39 / $7,923.50	Facility		$4,203.72	$4,912.39	$7,923.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,648.90 / $2,346.89 / $3,249.62	Facility		$1,648.90	$2,346.89	$3,249.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,798.80 / $3,249.62 / $7,868.00	Facility		$1,798.80	$3,249.62	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,648.90 / $2,346.89 / $3,249.62	Facility		$1,648.90	$2,346.89	$3,249.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,398.20 / $5,247.34 / $6,855.27	Professional		$3,398.20	$5,247.34	$6,855.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,029.70 / $22,029.70 / $22,029.70	Facility		$22,029.70	$22,029.70	$22,029.70
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,946.41 / $4,946.41 / $4,946.41	Facility	62	$4,946.41	$4,946.41	$4,946.41
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