Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,786.10 / $2,878.27 / $14,482.00	Facility		$1,786.10	$2,878.27	$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 $3,584.66 / $4,188.95 / $6,756.63	Facility		$3,584.66	$4,188.95	$6,756.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,407.15 / $2,004.42 / $2,772.68	Facility		$1,407.15	$2,004.42	$2,772.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,628.62 / $2,803.00 / $7,868.00	Facility		$1,628.62	$2,803.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,407.15 / $2,004.42 / $2,772.68	Facility		$1,407.15	$2,004.42	$2,772.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,901.60 / $4,480.52 / $5,846.05	Professional		$2,901.60	$4,480.52	$5,846.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,796.03 / $18,796.03 / $18,796.03	Facility		$18,796.03	$18,796.03	$18,796.03
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,223.56 / $4,223.56 / $4,223.56	Facility	62	$4,223.56	$4,223.56	$4,223.56
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $675.77 / $675.77 / $675.77	Facility	AS	$675.77	$675.77	$675.77
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