Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.47 / $2,897.53 / $14,482.00	Facility		$1,798.47	$2,897.53	$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 $3,612.59 / $4,221.60 / $6,809.29	Facility		$3,612.59	$4,221.60	$6,809.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,416.57 / $2,014.33 / $2,792.44	Facility		$1,416.57	$2,014.33	$2,792.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,638.54 / $2,803.00 / $7,868.00	Facility		$1,638.54	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,416.57 / $2,014.33 / $2,792.44	Facility		$1,416.57	$2,014.33	$2,792.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,919.15 / $4,507.62 / $5,889.00	Professional		$2,919.15	$4,507.62	$5,889.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,923.41 / $18,923.41 / $18,923.41	Facility		$18,923.41	$18,923.41	$18,923.41
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,249.09 / $4,249.09 / $4,249.09	Facility	62	$4,249.09	$4,249.09	$4,249.09
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $679.85 / $679.85 / $679.85	Facility	AS	$679.85	$679.85	$679.85
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