Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.29 / $1,797.03 / $14,482.00	Facility		$1,110.29	$1,797.03	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,240.17 / $2,617.83 / $4,222.47	Facility		$2,240.17	$2,617.83	$4,222.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $878.55 / $1,393.90 / $1,978.87	Facility		$878.55	$1,393.90	$1,978.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,016.42 / $8,627.00 / $16,779.00	Facility		$1,016.42	$8,627.00	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $878.55 / $1,393.90 / $1,978.87	Facility		$878.55	$1,393.90	$1,978.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,811.55 / $2,797.31 / $3,646.24	Professional		$1,811.55	$2,797.31	$3,646.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,856.55 / $13,856.55 / $13,856.55	Facility		$13,856.55	$13,856.55	$13,856.55
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,314.53 / $1,314.53 / $1,314.53	Facility	AS	$1,314.53	$1,314.53	$1,314.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00