Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.98 / $2,587.88 / $14,482.00	Facility		$1,608.98	$2,587.88	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,225.11 / $3,768.79 / $6,078.93	Facility		$3,225.11	$3,768.79	$6,078.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,265.19 / $1,812.43 / $2,493.16	Facility		$1,265.19	$1,812.43	$2,493.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,465.26 / $2,803.00 / $7,868.00	Facility		$1,465.26	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,265.19 / $1,812.43 / $2,493.16	Facility		$1,265.19	$1,812.43	$2,493.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,611.05 / $4,031.86 / $5,258.65	Professional		$2,611.05	$4,031.86	$5,258.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,904.80 / $16,904.80 / $16,904.80	Facility		$16,904.80	$16,904.80	$16,904.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $608.10 / $608.10 / $608.10	Facility	AS	$608.10	$608.10	$608.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00