Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,653.23 / $4,287.31 / $14,482.00	Facility		$2,653.23	$4,287.31	$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 $5,322.01 / $6,219.20 / $10,031.34	Facility		$5,322.01	$6,219.20	$10,031.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,096.02 / $3,017.63 / $4,124.24	Facility		$2,096.02	$3,017.63	$4,124.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $3,364.00 / $7,868.00	Facility		$2,203.00	$3,364.00	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,096.02 / $3,017.63 / $4,124.24	Facility		$2,096.02	$3,017.63	$4,124.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,332.25 / $6,689.66 / $8,693.08	Professional		$4,332.25	$6,689.66	$8,693.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,992.36 / $27,992.36 / $27,992.36	Facility		$27,992.36	$27,992.36	$27,992.36
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $6,305.98 / $6,305.98 / $6,305.98	Facility	62	$6,305.98	$6,305.98	$6,305.98
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